Major hip and knee joint replacement or reattachment of lower extremity without major complications in Pennsylvania
What 64 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$76,683
Hospital list price billed
Average payment
$15,447
Medicare + patient + other payers
Medicare paid
$12,863
Average per stay
State rank
#23 of 48
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $76,683 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.0 times the average total payment of $15,447. That payment is 11% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $15,447Billed $76,683
About 20¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Oss Orthopaedic HospitalYork | 238 | $43,959 | $12,823 | $11,104 |
| Penn Presbyterian Medical CenterPhiladelphia | 235 | $104,800 | $20,711 | $16,181 |
| Lehigh Valley HospitalAllentown | 186 | $107,791 | $16,472 | $13,979 |
| Advanced Surgical HospitalWashington | 164 | $43,550 | $12,492 | $10,582 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 159 | $91,869 | $18,278 | $14,880 |
| Riddle Memorial HospitalMedia | 146 | $64,982 | $13,653 | $11,710 |
| Thomas Jefferson University HospitalPhiladelphia | 126 | $73,332 | $20,391 | $17,037 |
| Reading Hospital and Med CtrWest Reading | 123 | $70,643 | $16,477 | $14,109 |
| Excela Health Westmoreland Regional HospitalGreensburg | 119 | $33,140 | $12,982 | $11,405 |
| UPMC Pinnacle HospitalsHarrisburg | 117 | $50,806 | $16,138 | $12,744 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 103 | $63,427 | $15,182 | $12,491 |
| Bucks County Specialty HospitalBensalem | 103 | $58,263 | $13,350 | $11,798 |
| Meadville Medical CenterMeadville | 102 | $43,161 | $14,074 | $12,282 |
| Doylestown HospitalDoylestown | 100 | $55,846 | $13,887 | $11,506 |
| Surgical Institute of ReadingWyomissing | 91 | $66,020 | $12,492 | $10,931 |
| Lehigh Valley Hospital - Dickson CityDickson City | 89 | $100,945 | $13,820 | $10,475 |
| St Luke's Hospital BethlehemBethlehem | 81 | $128,396 | $18,710 | $14,159 |
| Chester County HospitalWest Chester | 79 | $60,320 | $13,859 | $12,248 |
| UPMC Presbyterian ShadysidePittsburgh | 68 | $126,828 | $18,146 | $14,834 |
| Lancaster General HospitalLancaster | 63 | $48,939 | $15,095 | $12,328 |
| Main Line Hospital PaoliPaoli | 53 | $70,505 | $14,351 | $11,175 |
| Main Line Hospital LankenauWynnewood | 52 | $58,655 | $17,277 | $14,143 |
| UPMC St MargaretPittsburgh | 51 | $105,859 | $14,809 | $12,465 |
| Holy Redeemer Hosp and Med CtrJenkintown | 43 | $43,823 | $14,141 | $12,186 |
| Williamsport Hospital & Medical CenterWilliamsport | 39 | $78,195 | $13,787 | $12,132 |
| Dubois Regional Medical CenterDubois | 39 | $36,345 | $13,703 | $12,037 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 38 | $68,131 | $16,105 | $13,562 |
| Wilkes-Barre General HospitalWilkes-Barre | 33 | $152,167 | $13,699 | $11,988 |
| Saint Vincent Health CenterErie | 30 | $116,805 | $16,444 | $14,495 |
| Physicians Care Surgical HospitalRoyersford | 30 | $54,939 | $12,974 | $11,396 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 29 | $117,066 | $14,719 | $12,078 |
| UPMC PassavantPittsburgh | 29 | $91,318 | $12,848 | $11,231 |
| Temple University HospitalPhiladelphia | 28 | $194,250 | $24,620 | $15,053 |
| UPMC HorizonGreenville | 27 | $73,811 | $13,700 | $11,949 |
| Abington Memorial HospitalAbington | 27 | $55,191 | $15,421 | $13,612 |
| UPMC MemorialYork | 26 | $43,694 | $13,314 | $11,796 |
| St Luke's Quakertown HospitalQuakertown | 25 | $151,476 | $16,074 | $14,638 |
| Pottstown Memorial Med CenterPottstown | 24 | $82,259 | $13,477 | $10,858 |
| UPMC EastMonroeville | 23 | $100,299 | $13,290 | $11,628 |
| Hamot Medical CenterErie | 22 | $105,719 | $16,667 | $14,775 |
| Milton S Hershey Medical CenterHershey | 21 | $123,534 | $18,718 | $16,921 |
| St Luke's Hospital - Carbon CampusLehighton | 21 | $127,427 | $14,593 | $10,128 |
| Pocono Medical CenterEast Stroudsburg | 20 | $84,347 | $14,481 | $13,013 |
| Geisinger-Community Medical CenterScranton | 19 | $168,259 | $13,693 | $12,193 |
| Allegheny General HospitalPittsburgh | 18 | $91,334 | $17,676 | $15,071 |
| Grand View HospitalSellersville | 18 | $41,829 | $13,286 | $11,654 |
| Holy Spirit HospitalCamp Hill | 17 | $122,440 | $13,124 | $11,576 |
| Jefferson Health- NortheastPhiladelphia | 17 | $51,643 | $15,755 | $13,931 |
| Penn State Health Lancaster Medical CenterLancaster | 17 | $119,912 | $13,847 | $10,369 |
| UPMC LititzLititz | 16 | $48,398 | $15,824 | $13,916 |
| Wayne Memorial HospitalHonesdale | 16 | $73,075 | $15,957 | $14,427 |
| Hazleton General HospitalHazleton | 16 | $100,739 | $13,411 | $10,852 |
| Jefferson Regional Medical CenterClairton | 16 | $62,985 | $13,470 | $10,240 |
| St Luke's Hospital - Monroe CampusStroudsburg | 16 | $152,486 | $13,224 | $11,654 |
| Washington Hospital, theWashington | 15 | $43,456 | $14,588 | $11,201 |
| Carlisle Regional Medical CtrCarlisle | 14 | $40,417 | $12,867 | $11,235 |
| Sharon Regional Health SystemSharon | 14 | $103,431 | $13,232 | $11,513 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 14 | $75,681 | $17,453 | $14,977 |
| Penn State Health Hampden Medical CenterEnola | 14 | $127,271 | $14,456 | $12,235 |
| Latrobe Area HospitalLatrobe | 13 | $39,767 | $19,029 | $10,606 |
| St Clair Memorial HospitalPittsburgh | 13 | $47,230 | $12,269 | $10,637 |
| Mount Nittany Medical CenterState College | 13 | $76,577 | $16,741 | $15,000 |
| Geisinger Medical CenterDanville | 11 | $204,904 | $20,080 | $14,658 |
| Robert Packer HospitalSayre | 11 | $58,517 | $16,220 | $14,250 |
Lowest and highest payments in Pennsylvania
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Clair Memorial HospitalPittsburgh, PA | $12,269 |
|---|---|
| Advanced Surgical HospitalWashington, PA | $12,492 |
| Surgical Institute of ReadingWyomissing, PA | $12,492 |
| Oss Orthopaedic HospitalYork, PA | $12,823 |
| UPMC PassavantPittsburgh, PA | $12,848 |
Highest
| Temple University HospitalPhiladelphia, PA | $24,620 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $20,711 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $20,391 |
| Geisinger Medical CenterDanville, PA | $20,080 |
| Latrobe Area HospitalLatrobe, PA | $19,029 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 64 hospitals in Pennsylvania was billed at $76,683 on average, while the average total payment was $15,447, of which Medicare paid $12,863. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Pennsylvania, average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.