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Rothman Orthopaedic Specialty Hospital LLC: what a joint replacement costs

Bensalem, PA 19020 · CMS Certification Number 390322. 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
$8,981
Trevose Specialty Care Surgical Center, 3.9 mi
Outpatient here
$12,620
Medicare allowed amount, 713 cases, APC 5115
Inpatient here
$13,350
Avg total payment (incl. patient share), 103 Medicare stays, MS-DRG 470

Medicare prices at Rothman Orthopaedic Specialty Hospital LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,350$58,2634.4×$12,620
Shoulder replacement$17,663$71,4444.0×$17,740

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 4.4%. For-profit · Acute · 24 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Rothman Orthopaedic Specialty Hospital LLC for a knee or hip replacement?

In 2024 the average total payment to Rothman Orthopaedic Specialty Hospital LLC for an inpatient hip or knee replacement stay was $13,350 (MS-DRG 470, 103 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,620 per outpatient case (APC 5115, 713 cases).

What is Rothman Orthopaedic Specialty Hospital LLC's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,263, 4.4× 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 Rothman Orthopaedic Specialty Hospital LLC?

Yes for Medicare facility payments. Trevose Specialty Care Surgical Center, an orthopedic surgery center 3.9 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $4,369 less than an inpatient stay at Rothman Orthopaedic Specialty Hospital LLC. Not every patient is a surgery-center candidate.

How does Rothman Orthopaedic Specialty Hospital LLC compare with other Pennsylvania hospitals?

Rothman Orthopaedic Specialty Hospital LLC's average total payment per Medicare stay is lower than 77% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.