Price AtlasInteractive atlas · All states · techysurgeon.comWilkes-Barre General Hospital: what a joint replacement costs
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.
Medicare prices at Wilkes-Barre General Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,728 | 2.8× | $23,767–$56,011 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $56,011 | 4.1× | 1 |
| UnitedHealthcare | $49,400 | 3.6× | 1 |
| Aetna | $48,483 | 3.5× | 1 |
| Oscar | $37,728 | 2.8× | 1 |
| Geisinger Health Plan | $26,194 | 1.9× | 1 |
| Highmark BCBS | $26,084 | 1.9× | 1 |
| BCBS (other) | $23,767 | 1.7× | 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
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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Questions
How much does Medicare pay Wilkes-Barre General Hospital for a knee or hip replacement?
In 2024 the average total payment to Wilkes-Barre General Hospital for an inpatient hip or knee replacement stay was $13,699 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,673 per outpatient case (APC 5115, 152 cases).
What is Wilkes-Barre General Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $152,167, 11.1× 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 Wilkes-Barre General Hospital?
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.
How does Wilkes-Barre General Hospital compare with other Pennsylvania hospitals?
Wilkes-Barre General Hospital's average total payment per Medicare stay is lower than 67% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Wilkes-Barre General 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 $37,728 across 7 insurers, ranging from $23,767 to $56,011.