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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 Medicare allowed amount
Hospital, overnight
$14,469
Median avg total payment (incl. patient share), 64 hospitals

Pennsylvania has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 the median average total payment to Pennsylvania hospitals was $14,469 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 64 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,031 per outpatient case. An orthopedic surgery center is paid about $8,802 for a knee.

Which Pennsylvania hospitals have the lowest Medicare payment for a joint replacement?

St Clair Hospital ($12,269), Surgical Institute of Reading ($12,492), Advanced Surgical Hospital ($12,492) (average total payment per inpatient stay, patient share included).

What do Pennsylvania hospitals list for a joint replacement?

The median list (chargemaster) price is $73,572, about 5.1× the median average total payment for a Medicare stay.

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.