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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,693 | $168,259 | 12.3× | $11,630 |
| Shoulder replacement | — | — | — | $16,610 |
| Hip replacement after a fracture (DRG 522) | $17,554 | $192,436 | 11.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $43,335 | 3.2× | $21,374–$56,011 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $56,011 | 4.1× | 1 |
| UnitedHealthcare | $53,234 | 3.9× | 1 |
| Aetna | $49,947 | 3.6× | 1 |
| Highmark BCBS | $48,951 | 3.6× | 1 |
| Oscar | $37,719 | 2.8× | 1 |
| BCBS (other) | $36,833 | 2.7× | 1 |
| Geisinger Health Plan | $26,973 | 2.0× | 1 |
| Wire Rope | $21,374 | 1.6× | 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.
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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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).
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.
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.
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.
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.