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Paoli Hospital: what a joint replacement costs

Paoli, PA 19301 · CMS Certification Number 390153. 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
Paoli Surgery Center, same ZIP
Outpatient here
$12,615
177 Medicare cases, APC 5115
Inpatient here
$14,351
53 Medicare stays, MS-DRG 470

Medicare prices at Paoli Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,351$70,5054.9×$12,615
Shoulder replacement$17,806$89,0685.0×$17,938
Hip replacement after a fracture (DRG 522)$14,770$89,2016.0×—

Quality

Complications after hip or knee replacement: 2.4% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 261 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Paoli Hospital an average of $14,351 per inpatient hip or knee replacement stay (MS-DRG 470, 53 stays) and $12,615 per outpatient case (APC 5115, 177 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $70,505, 4.9× what Medicare paid. 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 Paoli Hospital?

Yes for Medicare facility payments. Paoli Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $5,370 less than an inpatient stay at Paoli Hospital. Not every patient is a surgery-center candidate.

How does Paoli Hospital compare with other Pennsylvania hospitals?

Medicare paid Paoli Hospital less than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.