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Jefferson Abington Hospital: what a joint replacement costs

Abington, PA 19001 · CMS Certification Number 390231. 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
$8,981
Abington Surgical Center, 1.5 mi
Outpatient here
$12,264
Medicare allowed amount, 323 cases, APC 5115
Inpatient here
$15,421
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at Jefferson Abington Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,421$55,1913.6×$12,264
Shoulder replacement———$17,444
Hip replacement after a fracture (DRG 522)$18,216$74,7524.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$31,9562.1×$15,497–$67,2789
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Geisinger Health Plan$67,2784.4×1
UPMC Commercial$40,0942.6×1
Cigna$33,4122.2×1
Highmark BCBS$33,2482.2×1
Aetna$31,9562.1×1
UnitedHealthcare$28,7411.9×1
Horizon BCBS NJ$27,1541.8×1
Independence Blue Cross$19,4971.3×1
Point of Comfort Refugee Resettlement$15,4971.0×1

From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 667 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Jefferson Abington Hospital for an inpatient hip or knee replacement stay was $15,421 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,264 per outpatient case (APC 5115, 323 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,191, 3.6× the average total payment for a Medicare stay. 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 Jefferson Abington Hospital?

Yes for Medicare facility payments. Abington Surgical Center, an orthopedic surgery center 1.5 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $6,440 less than an inpatient stay at Jefferson Abington Hospital. Not every patient is a surgery-center candidate.

How does Jefferson Abington Hospital compare with other Pennsylvania hospitals?

Jefferson Abington Hospital's average total payment per Medicare stay is higher than 63% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Jefferson Abington 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 $31,956 across 9 insurers, ranging from $15,497 to $67,278.