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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,421 | $55,191 | 3.6× | $12,264 |
| Shoulder replacement | — | — | — | $17,444 |
| Hip replacement after a fracture (DRG 522) | $18,216 | $74,752 | 4.1× | — |
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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In 2024 Medicare paid Jefferson Abington Hospital an average of $15,421 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $12,264 per outpatient case (APC 5115, 323 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,191, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Jefferson Abington Hospital more than 63% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.