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Geisinger Community Medical Center: what a joint replacement costs

Scranton, PA 18510 · CMS Certification Number 390001. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,280
Surgical Specialty Center of Northeastern Pa LLC, 15.9 mi
Outpatient here
$11,630
Medicare allowed amount, 277 cases, APC 5115
Inpatient here
$13,693
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Geisinger Community Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,693$168,25912.3×$11,630
Shoulder replacement———$16,610
Hip replacement after a fracture (DRG 522)$17,554$192,43611.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$43,3353.2×$21,374–$56,0118
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$56,0114.1×1
UnitedHealthcare$53,2343.9×1
Aetna$49,9473.6×1
Highmark BCBS$48,9513.6×1
Oscar$37,7192.8×1
BCBS (other)$36,8332.7×1
Geisinger Health Plan$26,9732.0×1
Wire Rope$21,3741.6×1

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 294 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Geisinger Community Medical Center for a knee or hip replacement?

In 2024 the average total payment to Geisinger Community Medical Center for an inpatient hip or knee replacement stay was $13,693 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,630 per outpatient case (APC 5115, 277 cases).

What is Geisinger Community Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $168,259, 12.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Geisinger Community Medical Center?

Yes for Medicare facility payments. Surgical Specialty Center of Northeastern Pa LLC, an orthopedic surgery center 15.9 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $5,413 less than an inpatient stay at Geisinger Community Medical Center. Not every patient is a surgery-center candidate.

How does Geisinger Community Medical Center compare with other Pennsylvania hospitals?

Geisinger Community Medical Center's average total payment per Medicare stay is lower than 69% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Geisinger Community Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $43,335 across 8 insurers, ranging from $21,374 to $56,011.