East Norriton, PA 19403 · CMS Certification Number 390329. 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 | $17,453 | $75,681 | 4.3× | $12,064 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 195 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Jefferson Einstein Montgomery Hospital an average of $17,453 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $12,064 per outpatient case (APC 5115, 121 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,681, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. King of Prussia Surgery Center, an orthopedic surgery center 3.7 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $8,472 less than an inpatient stay at Jefferson Einstein Montgomery Hospital. Not every patient is a surgery-center candidate.
Medicare paid Jefferson Einstein Montgomery Hospital more than 84% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.