What Medicare pays Pennsylvania hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Pennsylvania has no certificate-of-need law.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| St Clair Hospital | Pittsburgh | $12,269 | $47,230 | $11,740 |
| Surgical Institute of Reading | Wyomissing | $12,492 | $66,020 | $11,741 |
| Advanced Surgical Hospital | Washington | $12,492 | $43,550 | $10,546 |
| Oss Orthopaedic Hospital | York | $12,823 | $43,959 | $12,074 |
| Upmc Passavant | Pittsburgh | $12,848 | $91,318 | $11,694 |
| Upmc Carlisle | Carlisle | $12,867 | $40,417 | $11,693 |
| Physician's Care Surgical Hospital | Royersford | $12,974 | $54,939 | $12,329 |
| Independence Health System Westmoreland Hospital | Greensburg | $12,982 | $33,140 | $11,626 |
| Penn State Health Holy Spirit Medical Center | Camp Hill | $13,124 | $122,440 | $11,627 |
| St Luke's Hospital - Monroe Campus | Stroudsburg | $13,224 | $152,486 | $11,978 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Temple University Hospital | Philadelphia | $24,620 | $194,250 | $12,965 |
| Penn Presbyterian Medical Center | Philadelphia | $20,711 | $104,800 | $13,238 |
| Thomas Jefferson University Hospital | Philadelphia | $20,391 | $73,332 | $12,390 |
| Geisinger Medical Center | Danville | $20,080 | $204,904 | $11,666 |
| Independence Health System Latrobe Hospital | Latrobe | $19,029 | $39,767 | $11,481 |
| Milton S Hershey Medical Center | Hershey | $18,718 | $123,534 | $12,203 |
| St Luke's Hospital Bethlehem | Bethlehem | $18,710 | $128,396 | $12,473 |
| Pennsylvania Hospital | Philadelphia | $18,278 | $91,869 | $13,238 |
| Upmc Presbyterian Shadyside | Pittsburgh | $18,146 | $126,828 | $11,598 |
| Allegheny General Hospital | Pittsburgh | $17,676 | $91,334 | $11,345 |
In 2024 Medicare paid Pennsylvania hospitals a median $14,469 per inpatient hip or knee replacement stay (MS-DRG 470, 64 hospitals) and a median $12,031 per outpatient case. An orthopedic surgery center is paid about $8,802 for a knee.
St Clair Hospital ($12,269), Surgical Institute of Reading ($12,492), Advanced Surgical Hospital ($12,492).
The median list (chargemaster) price is $73,572, about 5.1× what Medicare pays.
Pennsylvania has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1996.