Doylestown, PA 18901 · CMS Certification Number 390203. 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 | $13,887 | $55,846 | 4.0× | $12,540 |
| Shoulder replacement | $17,868 | $89,585 | 5.0× | $17,938 |
| Hip replacement after a fracture (DRG 522) | $15,012 | $68,437 | 4.6× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 245 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Doylestown Hospital an average of $13,887 per inpatient hip or knee replacement stay (MS-DRG 470, 100 stays) and $12,540 per outpatient case (APC 5115, 159 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,846, 4.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New Britain Surgery Center, an orthopedic surgery center 3.3 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $4,906 less than an inpatient stay at Doylestown Hospital. Not every patient is a surgery-center candidate.
Medicare paid Doylestown Hospital less than 56% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.