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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Thomas Jefferson University Hospital an average of $20,391 per inpatient hip or knee replacement stay (MS-DRG 470, 126 stays) and $12,390 per outpatient case (APC 5115, 359 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,332, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Thomas Jefferson University Hospital more than 97% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.