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Surgical Institute of Reading: what a joint replacement costs

Wyomissing, PA 19610 · CMS Certification Number 390316. 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
$8,568
Reading Hospital Surgicenter at Spring Ridge, same ZIP
Outpatient here
$11,741
338 Medicare cases, APC 5115
Inpatient here
$12,492
91 Medicare stays, MS-DRG 470

Medicare prices at Surgical Institute of Reading

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,492$66,0205.3×$11,741
Shoulder replacement———$16,739

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.5%. Physician-owned · Acute · 15 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Surgical Institute of Reading for a knee or hip replacement?

In 2024 Medicare paid Surgical Institute of Reading an average of $12,492 per inpatient hip or knee replacement stay (MS-DRG 470, 91 stays) and $11,741 per outpatient case (APC 5115, 338 cases).

What is Surgical Institute of Reading's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,020, 5.3× 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 Surgical Institute of Reading?

Yes for Medicare facility payments. Reading Hospital Surgicenter at Spring Ridge, an orthopedic surgery center same ZIP away, is paid about $8,568 by Medicare for a knee replacement (CPT 27447), $3,924 less than an inpatient stay at Surgical Institute of Reading. Not every patient is a surgery-center candidate.

How does Surgical Institute of Reading compare with other Pennsylvania hospitals?

Medicare paid Surgical Institute of Reading less than 95% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.