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Thomas 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.

Surgery center nearby
$9,445
Jefferson Surgical Center at The Navy Yard, 4.3 mi
Outpatient here
$12,390
359 Medicare cases, APC 5115
Inpatient here
$20,391
126 Medicare stays, MS-DRG 470

Medicare prices at Thomas Jefferson University Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,391$73,3323.6×$12,390
Shoulder replacement$30,225$107,6083.6×$17,733
Hip replacement after a fracture (DRG 522)$23,012$108,2664.7×—

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 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).

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× 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 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?

Medicare paid Thomas Jefferson University Hospital more than 97% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.