Revision of Hip or Knee Replacement with Cc in Pennsylvania
MS-DRG 467: Revision of hip or knee replacement with cc
$134,537typical hospital bill
$28,576typical amount paid
$23,148–$45,016range paid across 26 hospitals
Pennsylvania hospitals billed Medicare a typical $134,537 for this stay in 2024, about 4.7 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 | |
|---|---|---|---|---|---|
| Conemaugh Nason Medical Center | Roaring Spring | 21 | $91,185 | $23,148 | |
| Upmc St Margaret | Pittsburgh | 19 | $127,838 | $23,658 | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 16 | $164,151 | $23,998 | |
| Oss Orthopaedic Hospital | York | 13 | $81,133 | $24,373 | |
| Paoli Hospital | Paoli | 25 | $118,327 | $24,862 | |
| Riddle Memorial Hospital | Media | 25 | $105,937 | $25,137 | |
| Lehigh Valley Hospital - Hazleton | Hazleton | 11 | $167,369 | $25,449 | |
| Doylestown Hospital | Doylestown | 11 | $97,671 | $25,625 | |
| Jefferson Health- Northeast | Philadelphia | 14 | $85,190 | $26,733 | |
| Bryn Mawr Hospital | Bryn Mawr | 34 | $115,366 | $27,475 | |
| Geisinger-Community Medical Center | Scranton | 15 | $234,484 | $27,524 | |
| Reading Hospital | West Reading | 23 | $140,877 | $27,820 | |
| Upmc Hamot | Erie | 16 | $164,335 | $28,056 | |
| Wellspan Ephrata Community Hospital | Ephrata | 17 | $149,558 | $29,096 | |
| Jefferson Abington Hospital | Abington | 22 | $82,072 | $29,737 | |
| Magee Womens Hospital of Upmc Health System | Pittsburgh | 17 | $129,628 | $30,044 | |
| Allegheny General Hospital | Pittsburgh | 41 | $113,738 | $30,188 | |
| Lancaster General Hospital | Lancaster | 33 | $76,291 | $30,391 | |
| Lehigh Valley Hospital | Allentown | 87 | $164,891 | $31,193 | |
| Upmc Pinnacle Hospitals | Harrisburg | 21 | $91,594 | $31,724 | |
| St Lukes Hospital | Bethlehem | 38 | $267,554 | $32,301 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 35 | $248,280 | $33,493 | |
| Penn Presbyterian Medical Center | Philadelphia | 25 | $242,195 | $34,347 | |
| Milton S Hershey Medical Center | Hershey | 22 | $148,509 | $35,145 | |
| Thomas Jefferson University Hospital | Philadelphia | 92 | $139,447 | $40,932 | |
| Geisinger Medical Center | Danville | 11 | $335,352 | $45,016 |
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.