Wilkes-Barre, PA 18764 · CMS Certification Number 390137. 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 | $13,699 | $152,167 | 11.1× | $11,673 |
| Shoulder replacement | — | — | — | $16,610 |
| Hip replacement after a fracture (DRG 522) | $15,498 | $131,111 | 8.5× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 369 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Wilkes-Barre General Hospital an average of $13,699 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,673 per outpatient case (APC 5115, 152 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $152,167, 11.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Specialty Center of Northeastern Pa LLC, an orthopedic surgery center 1.9 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $5,419 less than an inpatient stay at Wilkes-Barre General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Wilkes-Barre General Hospital less than 67% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.