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Wellspan Evangelical Community Hospital: what a joint replacement costs

Lewisburg, PA 17837 · CMS Certification Number 390013. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,651
Medicare allowed amount, 340 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Wellspan Evangelical Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,651
Shoulder replacement———$16,610

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,399—$13,202–$40,4866
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$40,486—1
First Health Network (rental network)$33,318—1
Aetna$30,290—1
UPMC$28,773—1
Highmark BCBS$28,025—1
Geisinger$27,947—1
UPMC for Life Community HealthChoices$13,202—1

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

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

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 131 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Wellspan Evangelical Community Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,651 per outpatient hip or knee replacement case (APC 5115, 340 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Wellspan Evangelical Community Hospital 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 $28,399 across 6 insurers, ranging from $13,202 to $40,486.