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Advanced Surgical Hospital: what a joint replacement costs

Washington, PA 15301 · CMS Certification Number 390323. 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
Tri-State Surgery Center LLC, same ZIP
Outpatient here
$10,546
Medicare allowed amount, 25 cases, APC 5115
Inpatient here
$12,492
Avg total payment (incl. patient share), 164 Medicare stays, MS-DRG 470

Medicare prices at Advanced Surgical Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,492$43,5503.5×$10,546
Shoulder replacement———$16,610

Quality

Complications after hip or knee replacement: 2.3% (no different from the national rate). Readmissions: 4.5%. Physician-owned · Acute · 14 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Advanced Surgical Hospital for an inpatient hip or knee replacement stay was $12,492 (MS-DRG 470, 164 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,546 per outpatient case (APC 5115, 25 cases).

What is Advanced Surgical Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,550, 3.5× 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 Advanced Surgical Hospital?

Yes for Medicare facility payments. Tri-State Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $4,238 less than an inpatient stay at Advanced Surgical Hospital. Not every patient is a surgery-center candidate.

How does Advanced Surgical Hospital compare with other Pennsylvania hospitals?

Advanced Surgical Hospital's average total payment per Medicare stay is lower than 95% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.