Price AtlasInteractive atlas · All states · techysurgeon.comJefferson 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.
Medicare prices at Jefferson Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,470 | $62,985 | 4.7× | $11,669 |
| Shoulder replacement | — | — | — | $16,610 |
| Hip replacement after a fracture (DRG 522) | $14,064 | $72,125 | 5.1× | — |
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 the average total payment to Jefferson Hospital for an inpatient hip or knee replacement stay was $13,470 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Jefferson Hospital's average total payment per Medicare stay is lower than 73% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.