Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Pennsylvania
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$146,451typical hospital bill
$37,601typical amount paid
$30,904–$40,498range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $146,451 for this stay in 2024, about 3.9 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 | |
|---|---|---|---|---|---|
| Pennsylvania Hospital | Philadelphia | 12 | $140,970 | $30,904 | |
| Penn Presbyterian Medical Center | Philadelphia | 15 | $216,193 | $37,601 | |
| Thomas Jefferson University Hospital | Philadelphia | 14 | $146,451 | $40,498 |
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.