Enola, PA 17025 · CMS Certification Number 390336. 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 | $14,456 | $127,271 | 8.8× | $11,124 |
| Shoulder replacement | — | — | — | $16,664 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 120 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Penn State Health Hampden Medical Center an average of $14,456 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,124 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $127,271, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Susquehanna Valley Surgical Center, an orthopedic surgery center 7.9 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $5,640 less than an inpatient stay at Penn State Health Hampden Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Penn State Health Hampden Medical Center less than 50% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.