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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,278 | $91,869 | 5.0× | $13,238 |
| Shoulder replacement | — | — | — | $18,732 |
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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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).
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.
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.
Medicare paid Pennsylvania Hospital more than 89% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.