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Princeton Community Hospital: what a joint replacement costs

Princeton, WV 24740 · CMS Certification Number 510046. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,294
Medicare allowed amount, 198 cases, APC 5115
Inpatient here
$13,160
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Princeton Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,160$61,4114.7×$11,294
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,668$58,0854.0×—

Quality

Complications after hip or knee replacement: 6.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 267 beds

West Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Princeton Community Hospital for a knee or hip replacement?

In 2024 the average total payment to Princeton Community Hospital for an inpatient hip or knee replacement stay was $13,160 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,294 per outpatient case (APC 5115, 198 cases).

What is Princeton Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,411, 4.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Princeton Community Hospital compare with other West Virginia hospitals?

Princeton Community Hospital's average total payment per Medicare stay is lower than 80% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.