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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,711 | $104,800 | 5.1× | $13,238 |
| Shoulder replacement | $25,877 | $133,506 | 5.2× | $18,732 |
| Hip replacement after a fracture (DRG 522) | $21,484 | $136,549 | 6.4× | — |
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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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).
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.
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.
Medicare paid Penn Presbyterian Medical Center more than 98% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.