Hip or knee replacement in Pennsylvania

MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc

$73,572typical hospital bill

$14,469typical amount paid

$12,269–$24,620range paid across 64 hospitals

Pennsylvania hospitals billed Medicare a typical $73,572 for this stay in 2024, about 5.1 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
St Clair Hospital	Pittsburgh	13	$47,230	$12,269
Advanced Surgical Hospital	Washington	164	$43,550	$12,492
Surgical Institute of Reading	Wyomissing	91	$66,020	$12,492
Oss Orthopaedic Hospital	York	238	$43,959	$12,823
Upmc Passavant	Pittsburgh	29	$91,318	$12,848
Upmc Carlisle	Carlisle	14	$40,417	$12,867
Physicians Care Surgical Hospital	Royersford	30	$54,939	$12,974
Excela Health Westmoreland Regional Hospital	Greensburg	119	$33,140	$12,982
Penn State Health Holy Spirit Medical Center	Camp Hill	17	$122,440	$13,124
St Luke's Hospital - Monroe Campus	Stroudsburg	16	$152,486	$13,224
Sharon Regional Medical Center	Sharon	14	$103,431	$13,232
St Luke's Hospital - Grand View Campus	Sellersville	18	$41,829	$13,286
Upmc East	Monroeville	23	$100,299	$13,290
Upmc Memorial	York	26	$43,694	$13,314
Rothman Orthopaedic Specialty Hospital	Bensalem	103	$58,263	$13,350
Lehigh Valley Hospital - Hazleton	Hazleton	16	$100,739	$13,411
Jefferson Hospital	Jefferson Hills	16	$62,985	$13,470
Pottstown Hospital	Pottstown	24	$82,259	$13,477
Riddle Memorial Hospital	Media	146	$64,982	$13,653
Geisinger-Community Medical Center	Scranton	19	$168,259	$13,693
Wilkes-Barre General Hospital	Wilkes-Barre	33	$152,167	$13,699
Upmc Horizon	Greenville	27	$73,811	$13,700
Penn Highlands Dubois	Dubois	39	$36,345	$13,703
Upmc Williamsport	Williamsport	39	$78,195	$13,787
Lehigh Valley Hospital - Dickson City	Dickson City	89	$100,945	$13,820
Penn State Health Lancaster Medical Center	Lancaster	17	$119,912	$13,847
Chester County Hospital	West Chester	79	$60,320	$13,859
Doylestown Hospital	Doylestown	100	$55,846	$13,887
Meadville Medical Center	Meadville	102	$43,161	$14,074
Holy Redeemer Hospital and Medical Center	Meadowbrook	43	$43,823	$14,141
Paoli Hospital	Paoli	53	$70,505	$14,351
Penn State Health Hampden Medical Center	Enola	14	$127,271	$14,456
Lehigh Valley Hospital - Pocono	East Stroudsburg	20	$84,347	$14,481
The Washington Hospital	Washington	15	$43,456	$14,588
St Luke's Hospital - Carbon Campus	Lehighton	21	$127,427	$14,593
Schuylkill Medical Center - South Jackson Street	Pottsville	29	$117,066	$14,719
Upmc St Margaret	Pittsburgh	51	$105,859	$14,809
Lancaster General Hospital	Lancaster	63	$48,939	$15,095
Bryn Mawr Hospital	Bryn Mawr	103	$63,427	$15,182
Jefferson Abington Hospital	Abington	27	$55,191	$15,421
Jefferson Health- Northeast	Philadelphia	17	$51,643	$15,755
Upmc Lititz	Lititz	16	$48,398	$15,824
Wayne Memorial Hospital	Honesdale	16	$73,075	$15,957
St Luke's Hospital - Upper Bucks Campus	Quakertown	25	$151,476	$16,074
Magee Womens Hospital of Upmc Health System	Pittsburgh	38	$68,131	$16,105
Upmc Pinnacle Hospitals	Harrisburg	117	$50,806	$16,138
Robert Packer Hospital	Sayre	11	$58,517	$16,220
Saint Vincent Hospital	Erie	30	$116,805	$16,444
Lehigh Valley Hospital	Allentown	186	$107,791	$16,472
Reading Hospital	West Reading	123	$70,643	$16,477
Upmc Hamot	Erie	22	$105,719	$16,667
Mount Nittany Medical Center	State College	13	$76,577	$16,741
Main Line Hospital Lankenau	Wynnewood	52	$58,655	$17,277
Jefferson Einstein Montgomery Hospital	East Norriton	14	$75,681	$17,453
Allegheny General Hospital	Pittsburgh	18	$91,334	$17,677
Upmc Presbyterian Shadyside	Pittsburgh	68	$126,828	$18,146
Pennsylvania Hospital	Philadelphia	159	$91,869	$18,278
St Lukes Hospital	Bethlehem	81	$128,396	$18,710
Milton S Hershey Medical Center	Hershey	21	$123,534	$18,718
Excela Health Latrobe Hospital	Latrobe	13	$39,767	$19,029
Geisinger Medical Center	Danville	11	$204,904	$20,080
Thomas Jefferson University Hospital	Philadelphia	126	$73,332	$20,391
Penn Presbyterian Medical Center	Philadelphia	235	$104,800	$20,711
Temple University Hospital	Philadelphia	28	$194,250	$24,620

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.