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Lehigh Valley Hospital - Pocono: what a joint replacement costs

East Stroudsburg, PA 18301 · CMS Certification Number 390201. 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
$8,601
Pocono Ambulatory Surgery Center, Limited, 7.8 mi
Outpatient here
$12,551
42 Medicare cases, APC 5115
Inpatient here
$14,481
20 Medicare stays, MS-DRG 470

Medicare prices at Lehigh Valley Hospital - Pocono

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,481$84,3475.8×$12,551
Shoulder replacement———$18,135
Hip replacement after a fracture (DRG 522)$16,210$119,7387.4×—

Quality

Complications after hip or knee replacement: 5.5% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 264 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Lehigh Valley Hospital - Pocono an average of $14,481 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,551 per outpatient case (APC 5115, 42 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,347, 5.8× 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 Lehigh Valley Hospital - Pocono?

Yes for Medicare facility payments. Pocono Ambulatory Surgery Center, Limited, an orthopedic surgery center 7.8 mi away, is paid about $8,601 by Medicare for a knee replacement (CPT 27447), $5,880 less than an inpatient stay at Lehigh Valley Hospital - Pocono. Not every patient is a surgery-center candidate.

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

Medicare paid Lehigh Valley Hospital - Pocono more than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.