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Pottstown Hospital: what a joint replacement costs

Pottstown, PA 19464 · CMS Certification Number 390123. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,981
Grand View Surgery Center at Harleysville, LLC, 11.9 mi
Outpatient here
$12,218
Medicare allowed amount, 88 cases, APC 5115
Inpatient here
$13,477
Avg total payment (incl. patient share), 24 Medicare stays, MS-DRG 470

Medicare prices at Pottstown Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,477$82,2596.1×$12,218
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,813$112,0087.6×—

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 219 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Pottstown Hospital for a knee or hip replacement?

In 2024 the average total payment to Pottstown Hospital for an inpatient hip or knee replacement stay was $13,477 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,218 per outpatient case (APC 5115, 88 cases).

What is Pottstown Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,259, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Pottstown Hospital?

Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 11.9 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $4,496 less than an inpatient stay at Pottstown Hospital. Not every patient is a surgery-center candidate.

How does Pottstown Hospital compare with other Pennsylvania hospitals?

Pottstown Hospital's average total payment per Medicare stay is lower than 72% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.