Price AtlasInteractive atlas · All states · techysurgeon.comWellspan Ephrata Community Hospital: what a joint replacement costs
Ephrata, PA 17522 · CMS Certification Number 390225. 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.
Medicare prices at Wellspan Ephrata Community Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,915 |
| Shoulder replacement | — | — | — | $16,957 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,445 | — | $25,889–$46,005 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Geisinger | $46,005 | — | 1 |
| Aetna | $45,958 | — | 1 |
| UnitedHealthcare | $40,445 | — | 1 |
| Capital Blue Cross | $31,011 | — | 1 |
| Highmark BCBS | $25,889 | — | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 141 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Wellspan Ephrata Community Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,915 per outpatient hip or knee replacement case (APC 5115, 149 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Wellspan Ephrata Community Hospital?
Yes for Medicare facility payments. Surgery Center of Lancaster LLC, an orthopedic surgery center 10.3 mi away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Wellspan Ephrata Community Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,445 across 5 insurers, ranging from $25,889 to $46,005.