Hazleton, PA 18201 · CMS Certification Number 390185. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,411 | $100,739 | 7.5× | $11,740 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,100 | 2.1× | $13,959–$34,610 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $34,610 | 2.6× | 1 |
| UPMC | $32,276 | 2.4× | 1 |
| EmblemHealth | $31,485 | 2.3× | 1 |
| Highmark BCBS | $24,716 | 1.8× | 1 |
| Cigna | $23,050 | 1.7× | 1 |
| HealthPartners | $13,959 | 1.0× | 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.
Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 150 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Lehigh Valley Hospital - Hazleton for an inpatient hip or knee replacement stay was $13,411 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,740 per outpatient case (APC 5115, 54 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,739, 7.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hazelton Ambulatory Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $5,131 less than an inpatient stay at Lehigh Valley Hospital - Hazleton. Not every patient is a surgery-center candidate.
Lehigh Valley Hospital - Hazleton's average total payment per Medicare stay is lower than 75% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,100 across 6 insurers, ranging from $13,959 to $34,610.