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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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 the average total payment to Lehigh Valley Hospital-Schuylkill for an inpatient hip or knee replacement stay was $14,719 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,066, 8.0× 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. 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.
Lehigh Valley Hospital-Schuylkill's average total payment per Medicare stay is higher than 56% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.