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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,472 | $107,791 | 6.5× | $12,688 |
| Shoulder replacement | $22,561 | $167,662 | 7.4× | $18,135 |
| Hip replacement after a fracture (DRG 522) | $20,680 | $139,469 | 6.7× | — |
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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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).
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.
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.
Medicare paid Lehigh Valley Hospital more than 77% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.