Price AtlasInteractive atlas · All states · techysurgeon.comSt Luke's Hospital - Upper Bucks Campus: what a joint replacement costs
Quakertown, PA 18951 · CMS Certification Number 390035. 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.
Medicare prices at St Luke's Hospital - Upper Bucks Campus
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,074 | $151,476 | 9.4× | $12,678 |
| Shoulder replacement | — | — | — | $17,938 |
| Hip replacement after a fracture (DRG 522) | $18,000 | $163,949 | 9.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,220 | 1.7× | $14,265–$31,838 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $31,838 | 2.0× | 1 |
| Cigna | $29,202 | 1.8× | 1 |
| Independence Blue Cross | $27,220 | 1.7× | 1 |
| Highmark BCBS | $23,132 | 1.4× | 1 |
| Capital Blue Cross | $14,265 | 0.9× | 1 |
From the hospital's price-transparency file (2026-02-26); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-26); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. For-profit · Acute · 127 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay St Luke's Hospital - Upper Bucks Campus for a knee or hip replacement?
In 2024 the average total payment to St Luke's Hospital - Upper Bucks Campus for an inpatient hip or knee replacement stay was $16,074 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,678 per outpatient case (APC 5115, 65 cases).
What is St Luke's Hospital - Upper Bucks Campus's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $151,476, 9.4× 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 St Luke's Hospital - Upper Bucks Campus?
Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 13.3 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $7,093 less than an inpatient stay at St Luke's Hospital - Upper Bucks Campus. Not every patient is a surgery-center candidate.
How does St Luke's Hospital - Upper Bucks Campus compare with other Pennsylvania hospitals?
St Luke's Hospital - Upper Bucks Campus's average total payment per Medicare stay is higher than 69% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Luke's Hospital - Upper Bucks Campus 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 $27,220 across 5 insurers, ranging from $14,265 to $31,838.