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Forbes Hospital: what a joint replacement costs

Monroeville, PA 15146 · CMS Certification Number 390267. 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
Allegheny Health Network Monroeville Surgery Center, same ZIP
Outpatient here
$11,668
141 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Forbes Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,668
Shoulder replacement———$16,610

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 314 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

Medicare allowed an average of $11,668 per outpatient hip or knee replacement case (APC 5115, 141 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Forbes Hospital?

Yes for Medicare facility payments. Allegheny Health Network Monroeville Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.