Price AtlasInteractive atlas · All states · techysurgeon.comPenn State Health Lancaster Medical Center: what a joint replacement costs
Lancaster, PA 17601 · CMS Certification Number 390339. 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.
Medicare prices at Penn State Health Lancaster Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,847 | $119,912 | 8.7× | $11,524 |
| Shoulder replacement | — | — | — | $16,391 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,358 | 2.6× | $27,446–$40,399 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,399 | 2.9× | 1 |
| Cigna | $37,671 | 2.7× | 1 |
| Aetna | $35,044 | 2.5× | 1 |
| Highmark BCBS | $27,446 | 2.0× | 1 |
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 142 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Penn State Health Lancaster Medical Center for a knee or hip replacement?
In 2024 the average total payment to Penn State Health Lancaster Medical Center for an inpatient hip or knee replacement stay was $13,847 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,524 per outpatient case (APC 5115, 162 cases).
What is Penn State Health Lancaster Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $119,912, 8.7× 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 Penn State Health Lancaster Medical Center?
Yes for Medicare facility payments. Surgery Center of Lancaster LLC, an orthopedic surgery center same ZIP away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447), $5,271 less than an inpatient stay at Penn State Health Lancaster Medical Center. Not every patient is a surgery-center candidate.
How does Penn State Health Lancaster Medical Center compare with other Pennsylvania hospitals?
Penn State Health Lancaster Medical Center's average total payment per Medicare stay is lower than 59% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Penn State Health Lancaster Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,358 across 4 insurers, ranging from $27,446 to $40,399.