Rothman Orthopaedic Specialty Hospital

3300 Tillman Drive, Bensalem, PA 19020 · (215) 244-7400

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Rothman Orthopaedic Specialty Hospital billed $4.65 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

See all 11 prices How we grade

Charge-to-payment: 4.7x; volume-weighted across all its priced work
Procedures priced: 11; inpatient and outpatient combined
Rank in PA: #61; lower markup ranks higher
CMS quality stars: Not rated; shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 15.9/35

Better than 45% of U.S. hospitals.

Outpatient charge markup 17.8/25

Better than 71% of U.S. hospitals.

Price level vs national median 10.4/30

Better than 35% of U.S. hospitals.

Price consistency 0.9/10

Better than 9% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure	Patients	Charged	Actually paid	vs national
Level 5 Musculoskeletal Procedures APC 5115 · Hospital outpatient visit	713	$54,930	$12,620	-12%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	103	$58,263	$13,350	-27%
Level 4 Musculoskeletal Procedures APC 5114 · Hospital outpatient visit	94	$61,180	$6,902	+53%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	77	$73,522	$17,740	-11%
Level 2 Musculoskeletal Procedures APC 5112 · Hospital outpatient visit	60	$26,755	$1,525	+138%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	36	$14,611	$1,863	+29%
Major Joint or Limb Reattachment Procedures of Upper Extremities MS-DRG 483 · Inpatient stay	28	$71,444	$17,663	-30%
Revision of Hip or Knee Replacement without Complications/mcc MS-DRG 468 · Inpatient stay	15	$67,965	$18,620	-37%
Level 3 Musculoskeletal Procedures APC 5113 · Hospital outpatient visit	15	$45,326	$3,123	+122%
Spinal Fusion Except Cervical without Major Complications MS-DRG 460 · Inpatient stay	13	$95,273	$25,925	-34%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure	Charged	Actually paid	vs national
Level 2 Musculoskeletal Procedures APC 5112 · Hospital outpatient visit	$26,755	$1,525	+138%
Level 3 Musculoskeletal Procedures APC 5113 · Hospital outpatient visit	$45,326	$3,123	+122%
Level 4 Musculoskeletal Procedures APC 5114 · Hospital outpatient visit	$61,180	$6,902	+53%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	$14,611	$1,863	+29%
Bilateral or Multiple Major Joint Procedures of Lower Extremity without Major MS-DRG 462 · Inpatient stay	$104,634	$19,886	-4%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	$73,522	$17,740	-11%
Level 5 Musculoskeletal Procedures APC 5115 · Hospital outpatient visit	$54,930	$12,620	-12%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	$58,263	$13,350	-27%

Where it charges least relative to everyone else

Procedure	Charged	Actually paid	vs national
Revision of Hip or Knee Replacement without Complications/mcc MS-DRG 468 · Inpatient stay	$67,965	$18,620	-37%
Spinal Fusion Except Cervical without Major Complications MS-DRG 460 · Inpatient stay	$95,273	$25,925	-34%
Major Joint or Limb Reattachment Procedures of Upper Extremities MS-DRG 483 · Inpatient stay	$71,444	$17,663	-30%
Hip or Knee Replacement (without major complications) MS-DRG 470 · Inpatient stay	$58,263	$13,350	-27%
Level 5 Musculoskeletal Procedures APC 5115 · Hospital outpatient visit	$54,930	$12,620	-12%
Level 6 Musculoskeletal Procedures APC 5116 · Hospital outpatient visit	$73,522	$17,740	-11%
Bilateral or Multiple Major Joint Procedures of Lower Extremity without Major MS-DRG 462 · Inpatient stay	$104,634	$19,886	-4%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	$14,611	$1,863	+29%

What this page cannot tell you

It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.

Lower markups near Bensalem

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1.9x · Clarion, PA
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Warren General Hospital
2.1x · Warren, PA
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Heritage Valley Sewickley
2.3x · Sewickley, PA
A
Penn Highlands Huntingdon
2.4x · Huntingdon, PA
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Washington Hospital, The
2.6x · Washington, PA
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Heritage Valley Beaver
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The record

CMS provider number: 390322
Type: Acute Care Hospitals
Ownership: Proprietary
Emergency department: No
Setting: Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

Source: CMS Medicare Inpatient and Outpatient utilisation files and Hospital General Information. See the files.