Royersford, PA 19468 · CMS Certification Number 390324. 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 | $12,974 | $54,939 | 4.2× | $12,329 |
| Shoulder replacement | — | — | — | $17,444 |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.7%. Physician-owned · Acute · 12 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Physician's Care Surgical Hospital an average of $12,974 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $12,329 per outpatient case (APC 5115, 587 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,939, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 8.6 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $3,993 less than an inpatient stay at Physician's Care Surgical Hospital. Not every patient is a surgery-center candidate.
Medicare paid Physician's Care Surgical Hospital less than 89% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.