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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,481 | $84,347 | 5.8× | $12,551 |
| Shoulder replacement | — | — | — | $18,135 |
| Hip replacement after a fracture (DRG 522) | $16,210 | $119,738 | 7.4× | — |
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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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).
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.
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.
Medicare paid Lehigh Valley Hospital - Pocono more than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.