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Jefferson Hospital: what a joint replacement costs

Jefferson Hills, PA 15025 · CMS Certification Number 390265. 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
$8,254
Southwestern Ambulatory Surgery Center, 4.6 mi
Outpatient here
$11,669
141 Medicare cases, APC 5115
Inpatient here
$13,470
16 Medicare stays, MS-DRG 470

Medicare prices at Jefferson Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,470$62,9854.7×$11,669
Shoulder replacement———$16,610
Hip replacement after a fracture (DRG 522)$14,064$72,1255.1×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 390 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Jefferson Hospital an average of $13,470 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,669 per outpatient case (APC 5115, 141 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,985, 4.7× 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 Jefferson Hospital?

Yes for Medicare facility payments. Southwestern Ambulatory Surgery Center, an orthopedic surgery center 4.6 mi away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $5,216 less than an inpatient stay at Jefferson Hospital. Not every patient is a surgery-center candidate.

How does Jefferson Hospital compare with other Pennsylvania hospitals?

Medicare paid Jefferson Hospital less than 73% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.