Revision of Hip or Knee Replacement Without Cc/Mcc in Pennsylvania
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$110,616typical hospital bill
$22,354typical amount paid
$17,770–$29,256range paid across 19 hospitals
Pennsylvania hospitals billed Medicare a typical $110,616 for this stay in 2024, about 4.9 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 | |
|---|---|---|---|---|---|
| Surgical Institute of Reading | Wyomissing | 16 | $68,218 | $17,770 | |
| Rothman Orthopaedic Specialty Hospital | Bensalem | 15 | $67,965 | $18,620 | |
| Upmc St Margaret | Pittsburgh | 12 | $118,179 | $19,102 | |
| Lehigh Valley Hospital - Dickson City | Dickson City | 15 | $170,994 | $19,116 | |
| Paoli Hospital | Paoli | 20 | $69,116 | $20,026 | |
| Bryn Mawr Hospital | Bryn Mawr | 24 | $90,134 | $20,494 | |
| Oss Orthopaedic Hospital | York | 12 | $85,361 | $21,906 | |
| Lancaster General Hospital | Lancaster | 18 | $66,965 | $22,260 | |
| Magee Womens Hospital of Upmc Health System | Pittsburgh | 40 | $101,556 | $22,266 | |
| Upmc Pinnacle Hospitals | Harrisburg | 36 | $68,372 | $22,354 | |
| Reading Hospital | West Reading | 12 | $121,925 | $22,403 | |
| Lehigh Valley Hospital | Allentown | 38 | $146,347 | $23,197 | |
| Geisinger-Community Medical Center | Scranton | 14 | $223,096 | $23,725 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 26 | $187,092 | $24,990 | |
| Penn Presbyterian Medical Center | Philadelphia | 11 | $188,944 | $25,392 | |
| Milton S Hershey Medical Center | Hershey | 15 | $110,616 | $25,807 | |
| Pennsylvania Hospital | Philadelphia | 12 | $125,148 | $27,462 | |
| St Lukes Hospital | Bethlehem | 13 | $194,155 | $28,042 | |
| Thomas Jefferson University Hospital | Philadelphia | 52 | $103,226 | $29,256 |
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.