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Lehigh Valley Hospital: what a joint replacement costs

Allentown, PA 18103 · CMS Certification Number 390133. 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
$8,802
Surgery Center of Allentown, 4.2 mi
Outpatient here
$12,688
1465 Medicare cases, APC 5115
Inpatient here
$16,472
186 Medicare stays, MS-DRG 470

Medicare prices at Lehigh Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,472$107,7916.5×$12,688
Shoulder replacement$22,561$167,6627.4×$18,135
Hip replacement after a fracture (DRG 522)$20,680$139,4696.7×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1190 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Lehigh Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Lehigh Valley Hospital an average of $16,472 per inpatient hip or knee replacement stay (MS-DRG 470, 186 stays) and $12,688 per outpatient case (APC 5115, 1465 cases).

What is Lehigh Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,791, 6.5× what Medicare paid. 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 Lehigh Valley Hospital?

Yes for Medicare facility payments. Surgery Center of Allentown, an orthopedic surgery center 4.2 mi away, is paid about $8,802 by Medicare for a knee replacement (CPT 27447), $7,670 less than an inpatient stay at Lehigh Valley Hospital. Not every patient is a surgery-center candidate.

How does Lehigh Valley Hospital compare with other Pennsylvania hospitals?

Medicare paid Lehigh Valley Hospital more than 77% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.