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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Paoli Hospital less than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.