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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,956 | 2.1× | $15,497–$67,278 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Geisinger Health Plan | $67,278 | 4.4× | 1 |
| UPMC Commercial | $40,094 | 2.6× | 1 |
| Cigna | $33,412 | 2.2× | 1 |
| Highmark BCBS | $33,248 | 2.2× | 1 |
| Aetna | $31,956 | 2.1× | 1 |
| UnitedHealthcare | $28,741 | 1.9× | 1 |
| Horizon BCBS NJ | $27,154 | 1.8× | 1 |
| Independence Blue Cross | $19,497 | 1.3× | 1 |
| Point of Comfort Refugee Resettlement | $15,497 | 1.0× | 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.
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.
Open the interactive price tagBuild a reportAll Pennsylvania hospitals
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).
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.
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.
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.
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.