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Penn Presbyterian Medical Center: what a joint replacement costs

Philadelphia, PA 19104 · CMS Certification Number 390223. 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, 5.0 mi
Outpatient here
$13,238
207 Medicare cases, APC 5115
Inpatient here
$20,711
235 Medicare stays, MS-DRG 470

Medicare prices at Penn Presbyterian Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,711$104,8005.1×$13,238
Shoulder replacement$25,877$133,5065.2×$18,732
Hip replacement after a fracture (DRG 522)$21,484$136,5496.4×—

Quality

Complications after hip or knee replacement: 2.4% (no different from the national rate). Readmissions: 4.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 305 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Penn Presbyterian Medical Center for a knee or hip replacement?

In 2024 Medicare paid Penn Presbyterian Medical Center an average of $20,711 per inpatient hip or knee replacement stay (MS-DRG 470, 235 stays) and $13,238 per outpatient case (APC 5115, 207 cases).

What is Penn Presbyterian Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,800, 5.1× 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 Penn Presbyterian Medical Center?

Yes for Medicare facility payments. Jefferson Surgical Center at The Navy Yard, an orthopedic surgery center 5.0 mi away, is paid about $9,445 by Medicare for a knee replacement (CPT 27447), $11,266 less than an inpatient stay at Penn Presbyterian Medical Center. Not every patient is a surgery-center candidate.

How does Penn Presbyterian Medical Center compare with other Pennsylvania hospitals?

Medicare paid Penn Presbyterian Medical Center more than 98% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.