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Wayne Memorial Hospital: what a joint replacement costs

Honesdale, PA 18431 · CMS Certification Number 390125. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,609
Medicare allowed amount, 22 cases, APC 5115
Inpatient here
$15,957
Avg total payment (incl. patient share), 16 Medicare stays, MS-DRG 470

Medicare prices at Wayne Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,957$73,0754.6×$12,609
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,7381.4×$12,538–$33,6046
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UPMC$33,6042.1×1
Highmark BCBS$30,4761.9×1
Cigna$27,5831.7×1
Humana$17,8931.1×1
Aetna$14,4670.9×1
UnitedHealthcare$12,5380.8×1

From the hospital's price-transparency file (2026-09-16); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-16); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 83 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Wayne Memorial Hospital for an inpatient hip or knee replacement stay was $15,957 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,609 per outpatient case (APC 5115, 22 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,075, 4.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Wayne Memorial Hospital compare with other Pennsylvania hospitals?

Wayne Memorial Hospital's average total payment per Medicare stay is higher than 67% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Wayne Memorial Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,738 across 6 insurers, ranging from $12,538 to $33,604.