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Pennsylvania Hospital: what a joint replacement costs

Philadelphia, PA 19107 · CMS Certification Number 390226. 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
$13,238
147 Medicare cases, APC 5115
Inpatient here
$18,278
159 Medicare stays, MS-DRG 470

Medicare prices at Pennsylvania Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,278$91,8695.0×$13,238
Shoulder replacement———$18,732

Quality

Complications after hip or knee replacement: 2.3% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 475 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Pennsylvania Hospital for a knee or hip replacement?

In 2024 Medicare paid Pennsylvania Hospital an average of $18,278 per inpatient hip or knee replacement stay (MS-DRG 470, 159 stays) and $13,238 per outpatient case (APC 5115, 147 cases).

What is Pennsylvania Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,869, 5.0× 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 Pennsylvania 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), $8,833 less than an inpatient stay at Pennsylvania Hospital. Not every patient is a surgery-center candidate.

How does Pennsylvania Hospital compare with other Pennsylvania hospitals?

Medicare paid Pennsylvania Hospital more than 89% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.