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Pennsylvania: one knee, three prices

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.

Surgery center
$8,802
Median Medicare knee rate, 61 orthopedic surgery centers
Hospital, same day
$12,031
Median outpatient allowed
Hospital, overnight
$14,469
Median inpatient paid, 64 hospitals

Pennsylvania has no certificate-of-need law.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
St Clair HospitalPittsburgh$12,269$47,230$11,740
Surgical Institute of ReadingWyomissing$12,492$66,020$11,741
Advanced Surgical HospitalWashington$12,492$43,550$10,546
Oss Orthopaedic HospitalYork$12,823$43,959$12,074
Upmc PassavantPittsburgh$12,848$91,318$11,694
Upmc CarlisleCarlisle$12,867$40,417$11,693
Physician's Care Surgical HospitalRoyersford$12,974$54,939$12,329
Independence Health System Westmoreland HospitalGreensburg$12,982$33,140$11,626
Penn State Health Holy Spirit Medical CenterCamp Hill$13,124$122,440$11,627
St Luke's Hospital - Monroe CampusStroudsburg$13,224$152,486$11,978

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Temple University HospitalPhiladelphia$24,620$194,250$12,965
Penn Presbyterian Medical CenterPhiladelphia$20,711$104,800$13,238
Thomas Jefferson University HospitalPhiladelphia$20,391$73,332$12,390
Geisinger Medical CenterDanville$20,080$204,904$11,666
Independence Health System Latrobe HospitalLatrobe$19,029$39,767$11,481
Milton S Hershey Medical CenterHershey$18,718$123,534$12,203
St Luke's Hospital BethlehemBethlehem$18,710$128,396$12,473
Pennsylvania HospitalPhiladelphia$18,278$91,869$13,238
Upmc Presbyterian ShadysidePittsburgh$18,146$126,828$11,598
Allegheny General HospitalPittsburgh$17,676$91,334$11,345

Every Pennsylvania hospital (107)

Orthopedic surgery centers (61)

Questions

How much does Medicare pay for a knee replacement in Pennsylvania?

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.

Which Pennsylvania hospitals does Medicare pay least for a joint replacement?

St Clair Hospital ($12,269), Surgical Institute of Reading ($12,492), Advanced Surgical Hospital ($12,492).

What do Pennsylvania hospitals list for a joint replacement?

The median list (chargemaster) price is $73,572, about 5.1× what Medicare pays.

Does Pennsylvania have a certificate-of-need law?

Pennsylvania has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1996.