Revision of hip or knee replacement without complications in Pennsylvania
What 19 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$116,050
Hospital list price billed
Average payment
$23,304
Medicare + patient + other payers
Medicare paid
$19,933
Average per stay
State rank
#25 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $116,050 for revision of hip or knee replacement without complications, about 5.0 times the average total payment of $23,304. That payment is 3% below the U.S. average of $23,925.
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 $23,304Billed $116,050
About 20¢ 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 without 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 | 52 | $103,226 | $29,256 | $23,979 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 40 | $101,556 | $22,266 | $19,927 |
| Lehigh Valley HospitalAllentown | 38 | $146,347 | $23,197 | $20,189 |
| UPMC Pinnacle HospitalsHarrisburg | 36 | $68,372 | $22,354 | $20,654 |
| UPMC Presbyterian ShadysidePittsburgh | 26 | $187,092 | $24,990 | $21,458 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 24 | $90,134 | $20,494 | $18,856 |
| Main Line Hospital PaoliPaoli | 20 | $69,116 | $20,026 | $16,726 |
| Lancaster General HospitalLancaster | 18 | $66,964 | $22,260 | $16,413 |
| Surgical Institute of ReadingWyomissing | 16 | $68,218 | $17,770 | $16,342 |
| Milton S Hershey Medical CenterHershey | 15 | $110,616 | $25,807 | $23,926 |
| Bucks County Specialty HospitalBensalem | 15 | $67,965 | $18,620 | $16,988 |
| Lehigh Valley Hospital - Dickson CityDickson City | 15 | $170,994 | $19,116 | $15,796 |
| Geisinger-Community Medical CenterScranton | 14 | $223,096 | $23,724 | $15,982 |
| St Luke's Hospital BethlehemBethlehem | 13 | $194,155 | $28,042 | $18,985 |
| Reading Hospital and Med CtrWest Reading | 12 | $121,925 | $22,403 | $20,879 |
| UPMC St MargaretPittsburgh | 12 | $118,179 | $19,102 | $17,383 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 12 | $125,148 | $27,462 | $21,023 |
| Oss Orthopaedic HospitalYork | 12 | $85,361 | $21,906 | $20,274 |
| Penn Presbyterian Medical CenterPhiladelphia | 11 | $188,944 | $25,392 | $23,691 |
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
| Surgical Institute of ReadingWyomissing, PA | $17,770 |
|---|---|
| Bucks County Specialty HospitalBensalem, PA | $18,620 |
| UPMC St MargaretPittsburgh, PA | $19,102 |
| Lehigh Valley Hospital - Dickson CityDickson City, PA | $19,116 |
| Main Line Hospital PaoliPaoli, PA | $20,026 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $29,256 |
|---|---|
| St Luke's Hospital BethlehemBethlehem, PA | $28,042 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $27,462 |
| Milton S Hershey Medical CenterHershey, PA | $25,807 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $25,392 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 19 hospitals in Pennsylvania was billed at $116,050 on average, while the average total payment was $23,304, of which Medicare paid $19,933. 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.