Price AtlasInteractive atlas · All states · techysurgeon.comPaoli 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.
Medicare prices at Paoli Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,351 | $70,505 | 4.9× | $12,615 |
| Shoulder replacement | $17,806 | $89,068 | 5.0× | $17,938 |
| Hip replacement after a fracture (DRG 522) | $14,770 | $89,201 | 6.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,599 | 2.3× | $29,414–$38,300 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $38,300 | 2.7× | 1 |
| BCBS (other) | $35,883 | 2.5× | 1 |
| Independence Blue Cross | $31,315 | 2.2× | 1 |
| Cigna | $29,414 | 2.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Paoli Hospital for an inpatient hip or knee replacement stay was $14,351 (MS-DRG 470, 53 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Paoli Hospital's average total payment per Medicare stay is lower than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Paoli 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 $33,599 across 4 insurers, ranging from $29,414 to $38,300.