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Physician's Care Surgical Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,981
Grand View Surgery Center at Harleysville, LLC, 8.6 mi
Outpatient here
$12,329
Medicare allowed amount, 587 cases, APC 5115
Inpatient here
$12,974
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Physician's Care Surgical Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,974$54,9394.2×$12,329
Shoulder replacement———$17,444

Quality

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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Questions

How much does Medicare pay Physician's Care Surgical Hospital for a knee or hip replacement?

In 2024 the average total payment to Physician's Care Surgical Hospital for an inpatient hip or knee replacement stay was $12,974 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,329 per outpatient case (APC 5115, 587 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,939, 4.2× 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 Physician's Care Surgical Hospital?

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.

How does Physician's Care Surgical Hospital compare with other Pennsylvania hospitals?

Physician's Care Surgical Hospital's average total payment per Medicare stay is lower than 89% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.