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Lehigh Valley Hospital - Hazleton: what a joint replacement costs

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.

Surgery center nearby
$8,280
Hazelton Ambulatory Surgical Center, same ZIP
Outpatient here
$11,740
Medicare allowed amount, 54 cases, APC 5115
Inpatient here
$13,411
Avg total payment (incl. patient share), 16 Medicare stays, MS-DRG 470

Medicare prices at Lehigh Valley Hospital - Hazleton

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,411$100,7397.5×$11,740
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,1002.1×$13,959–$34,6106
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$34,6102.6×1
UPMC$32,2762.4×1
EmblemHealth$31,4852.3×1
Highmark BCBS$24,7161.8×1
Cigna$23,0501.7×1
HealthPartners$13,9591.0×1

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.

Quality

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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Questions

How much does Medicare pay Lehigh Valley Hospital - Hazleton for a knee or hip replacement?

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).

What is Lehigh Valley Hospital - Hazleton's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Lehigh Valley Hospital - Hazleton?

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.

How does Lehigh Valley Hospital - Hazleton compare with other Pennsylvania hospitals?

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.

What do commercial insurers pay Lehigh Valley Hospital - Hazleton 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 $28,100 across 6 insurers, ranging from $13,959 to $34,610.