York, PA 17403 · CMS Certification Number 390327. 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 | — | — | — | $12,039 |
| Shoulder replacement | — | — | — | $17,178 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $50,488 | — | $12,472–$106,608 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $106,608 | — | 1 |
| Capital Blue Cross | $60,450 | — | 1 |
| UnitedHealthcare | $40,526 | — | 1 |
| Johns Hopkins HealthCare Plan | $12,472 | — | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Nonprofit · Acute · 73 beds
Pennsylvania has no certificate-of-need law.
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The Medicare allowed amount averaged $12,039 per outpatient hip or knee replacement case (APC 5115, 206 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Apple Hill Surgical Partners, an orthopedic surgery center same ZIP away, is paid about $8,963 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $50,488 across 4 insurers, ranging from $12,472 to $106,608.