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Geisinger-Lewistown Hospital: what a joint replacement costs

Lewistown, PA 17044 · CMS Certification Number 390048. 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
$9,199
Uoc Surgical Services Ltd, 19.3 mi
Outpatient here
$12,400
Medicare allowed amount, 46 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Geisinger-Lewistown Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,400
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,392$72,5194.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,969—$16,340–$52,7067
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Highmark BCBS$52,706—1
Aetna$39,149—1
Oscar$38,373—1
BCBS (other)$24,969—1
UPMC Health Plan$22,419—1
Geisinger Health Plan$18,360—1
Cigna$16,340—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.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 123 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Geisinger-Lewistown Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $12,400 per outpatient hip or knee replacement case (APC 5115, 46 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Geisinger-Lewistown Hospital?

Yes for Medicare facility payments. Uoc Surgical Services Ltd, an orthopedic surgery center 19.3 mi away, is paid about $9,199 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Geisinger-Lewistown 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 $24,969 across 7 insurers, ranging from $16,340 to $52,706.