Rothman Orthopaedic Specialty Hospital
3300 Tillman Drive, Bensalem, PA 19020 · 58 Priced Procedures · 84% Patient Recommendation
Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.98× fair market pricing.
Aligned Regional Benchmark Peer
Rothman Orthopaedic Specialty Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
- Self-pay cash beats commercial insurance on 75% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 84% patient recommendation (74/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.98× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.6×) & laboratory (6.4×) services average 1.18× higher multiples than routine shoppable care (1.1×)
- Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 18.7× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Rothman Orthopaedic Specialty Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 58 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $39,319 | 1.3× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $21,995 | 1.1× |
| Total hip replacement CPT Code: 27130 | $18,729 | unverified |
| Total knee replacement CPT Code: 27447 | $18,729 | unverified |
| Breast lump removal CPT Code: 19120 | $4,042 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,499 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,499 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | — | unverified |
| Blood transfusion CPT Code: 36430 | $502 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $425 | 1.2× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $425 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $425 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $425 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $176 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $122 | 1.1× |
| X-ray, chest (single view) CPT Code: 71045 | $101 | 1.1× |
| X-ray, shoulder CPT Code: 73030 | $101 | 1.1× |
| X-ray, foot CPT Code: 73630 | $101 | 1.1× |
| X-ray, lower back CPT Code: 72110 | $122 | 1.1× |
| X-ray, chest (two views) CPT Code: 71046 | $101 | 1.1× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $101 | 1.1× |
| X-ray, hand CPT Code: 73130 | $101 | 1.1× |
| X-ray, hip CPT Code: 73502 | $101 | 1.1× |
| X-ray, ankle CPT Code: 73610 | $101 | 1.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $124 | 0.8× |
Audit a Bill or Quote at Rothman Orthopaedic Specialty Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($31,977) Beats Your Bill
Rothman Orthopaedic Specialty Hospital's published 45 CFR § 180 self-pay cash rate is $31,977 (vs. $39,319 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($74,779) is $44,004 above the denoised Fair BaseRate ($30,775) and 3.2× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Rothman Orthopaedic Specialty Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (184 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rothman Orthopaedic Specialty Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.