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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,350 | $58,263 | 4.4× | $12,620 |
| Shoulder replacement | $17,663 | $71,444 | 4.0× | $17,740 |
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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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).
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.
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.
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.