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Wilkes-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.

Surgery center nearby
$8,280
Surgical Specialty Center of Northeastern Pa LLC, 1.9 mi
Outpatient here
$11,673
152 Medicare cases, APC 5115
Inpatient here
$13,699
33 Medicare stays, MS-DRG 470

Medicare prices at Wilkes-Barre General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,699$152,16711.1×$11,673
Shoulder replacement———$16,610
Hip replacement after a fracture (DRG 522)$15,498$131,1118.5×—

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 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).

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× 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 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?

Medicare paid Wilkes-Barre General Hospital less than 67% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.