Pottsville, PA 17901 · CMS Certification Number 390030. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,719 | $117,066 | 8.0× | — |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 187 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Lehigh Valley Hospital-Schuylkill an average of $14,719 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,066, 8.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hazleton Surgery Center, LLC, an orthopedic surgery center 21.6 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $6,439 less than an inpatient stay at Lehigh Valley Hospital-Schuylkill. Not every patient is a surgery-center candidate.
Medicare paid Lehigh Valley Hospital-Schuylkill more than 56% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.