Revision of hip or knee replacement with complications in Pennsylvania
What 26 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$150,209
Hospital list price billed
Average payment
$31,010
Medicare + patient + other payers
Medicare paid
$25,109
Average per stay
State rank
#31 of 41
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $150,209 for revision of hip or knee replacement with complications, about 4.8 times the average total payment of $31,010. That payment is 1% above the U.S. average of $30,673.
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 $31,010Billed $150,209
About 21¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 92 | $139,447 | $40,932 | $29,681 |
| Lehigh Valley HospitalAllentown | 87 | $164,891 | $31,193 | $25,479 |
| Allegheny General HospitalPittsburgh | 41 | $113,738 | $30,188 | $23,019 |
| St Luke's Hospital BethlehemBethlehem | 38 | $267,554 | $32,301 | $28,687 |
| UPMC Presbyterian ShadysidePittsburgh | 35 | $248,280 | $33,493 | $27,623 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 34 | $115,366 | $27,475 | $24,093 |
| Lancaster General HospitalLancaster | 33 | $76,291 | $30,391 | $22,444 |
| Main Line Hospital PaoliPaoli | 25 | $118,327 | $24,862 | $21,554 |
| Riddle Memorial HospitalMedia | 25 | $105,937 | $25,137 | $22,228 |
| Penn Presbyterian Medical CenterPhiladelphia | 25 | $242,195 | $34,347 | $32,272 |
| Reading Hospital and Med CtrWest Reading | 23 | $140,877 | $27,820 | $26,270 |
| Abington Memorial HospitalAbington | 22 | $82,072 | $29,737 | $23,904 |
| Milton S Hershey Medical CenterHershey | 22 | $148,509 | $35,145 | $29,900 |
| Nason HospitalRoaring Spring | 21 | $91,185 | $23,148 | $20,821 |
| UPMC Pinnacle HospitalsHarrisburg | 21 | $91,594 | $31,724 | $23,386 |
| UPMC St MargaretPittsburgh | 19 | $127,838 | $23,658 | $20,703 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 17 | $129,628 | $30,044 | $21,039 |
| Ephrata Community HospitalEphrata | 17 | $149,558 | $29,096 | $21,739 |
| Hamot Medical CenterErie | 16 | $164,335 | $28,056 | $26,379 |
| Lehigh Valley Hospital - Dickson CityDickson City | 16 | $164,151 | $23,998 | $19,454 |
| Geisinger-Community Medical CenterScranton | 15 | $234,484 | $27,524 | $23,030 |
| Jefferson Health- NortheastPhiladelphia | 14 | $85,190 | $26,733 | $21,584 |
| Oss Orthopaedic HospitalYork | 13 | $81,133 | $24,373 | $22,867 |
| Geisinger Medical CenterDanville | 11 | $335,352 | $45,016 | $23,476 |
| Hazleton General HospitalHazleton | 11 | $167,369 | $25,449 | $24,411 |
| Doylestown HospitalDoylestown | 11 | $97,671 | $25,625 | $20,539 |
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
| Nason HospitalRoaring Spring, PA | $23,148 |
|---|---|
| UPMC St MargaretPittsburgh, PA | $23,658 |
| Lehigh Valley Hospital - Dickson CityDickson City, PA | $23,998 |
| Oss Orthopaedic HospitalYork, PA | $24,373 |
| Main Line Hospital PaoliPaoli, PA | $24,862 |
Highest
| Geisinger Medical CenterDanville, PA | $45,016 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $40,932 |
| Milton S Hershey Medical CenterHershey, PA | $35,145 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $34,347 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $33,493 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 26 hospitals in Pennsylvania was billed at $150,209 on average, while the average total payment was $31,010, of which Medicare paid $25,109. 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 4.8 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.