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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,492 | $66,020 | 5.3× | $11,741 |
| Shoulder replacement | — | — | — | $16,739 |
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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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).
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.
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.
Medicare paid Surgical Institute of Reading less than 95% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.