Hospitals face financial losses for every knee, hip replacement performed

Orthopedic

For the last three years, hospitals have averaged losses for every inpatient primary hip replacement they have performed, and over two years have averaged losses for every inpatient primary knee replacement, according to an Oct. 26 "Strata and Syntellis Performance Trends" report, which reviewed data from 2,000 hospitals and 135,000 physicians nationwide. 

While total margins per case have consistently decreased for hospitals in the inpatient setting, they have increased in the outpatient setting. 

Orthopedic inpatient versus outpatient margins for primary hip and primary knee replacements: 

2020 

Primary hip replacement

Inpatient: $1,292

Outpatient: $3,049

 

Primary knee replacement

Inpatient: $3,196

Outpatient: $2,335

 

2021

Primary hip replacement

Inpatient: $-679

Outpatient: $4,096

 

Primary knee replacement

Inpatient: $1,855

Outpatient: $3,249

 

2022

 

Primary hip replacement

Inpatient: -$3,233

Outpatient: $3,802

 

Primary knee replacement

Inpatient: $-816

Outpatient: $3,097

 

2023

 

Primary hip replacement

Inpatient: $-3,498

Outpatient: $3,466

 

Primary knee replacement

Inpatient: $-1,402

Outpatient: $2,879

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