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Jefferson Einstein Montgomery Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,981
King of Prussia Surgery Center, 3.7 mi
Outpatient here
$12,064
121 Medicare cases, APC 5115
Inpatient here
$17,453
14 Medicare stays, MS-DRG 470

Medicare prices at Jefferson Einstein Montgomery Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,453$75,6814.3×$12,064
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay Jefferson Einstein Montgomery Hospital for a knee or hip replacement?

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).

What is Jefferson Einstein Montgomery Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Jefferson Einstein Montgomery Hospital?

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.

How does Jefferson Einstein Montgomery Hospital compare with other Pennsylvania hospitals?

Medicare paid Jefferson Einstein Montgomery Hospital more than 84% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.