Price AtlasInteractive atlas · All states · techysurgeon.comThomas Jefferson University Hospital: what a joint replacement costs
Philadelphia, PA 19107 · CMS Certification Number 390174. 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 Thomas Jefferson University Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,391 | $73,332 | 3.6× | $12,390 |
| Shoulder replacement | $30,225 | $107,608 | 3.6× | $17,733 |
| Hip replacement after a fracture (DRG 522) | $23,012 | $108,266 | 4.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $51,307 | 2.5× | $20,481–$78,162 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| QualCare JCC | $78,162 | 3.8× | 1 |
| Geisinger Health Plan | $67,278 | 3.3× | 1 |
| UPMC Commercial | $61,569 | 3.0× | 1 |
| Aetna | $54,013 | 2.6× | 1 |
| Cigna | $51,307 | 2.5× | 1 |
| Horizon BCBS NJ | $47,274 | 2.3× | 1 |
| Highmark BCBS | $43,879 | 2.2× | 1 |
| Independence Blue Cross | $25,601 | 1.3× | 1 |
| Point of Comfort Refugee Resettlement | $20,481 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 925 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Thomas Jefferson University Hospital for a knee or hip replacement?
In 2024 the average total payment to Thomas Jefferson University Hospital for an inpatient hip or knee replacement stay was $20,391 (MS-DRG 470, 126 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,390 per outpatient case (APC 5115, 359 cases).
What is Thomas Jefferson University Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,332, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Thomas Jefferson University Hospital?
Yes for Medicare facility payments. Jefferson Surgical Center at The Navy Yard, an orthopedic surgery center 4.3 mi away, is paid about $9,445 by Medicare for a knee replacement (CPT 27447), $10,946 less than an inpatient stay at Thomas Jefferson University Hospital. Not every patient is a surgery-center candidate.
How does Thomas Jefferson University Hospital compare with other Pennsylvania hospitals?
Thomas Jefferson University Hospital's average total payment per Medicare stay is higher than 97% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Thomas Jefferson University 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 $51,307 across 9 insurers, ranging from $20,481 to $78,162.