Price AtlasInteractive atlas · All states · techysurgeon.comLehigh 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.
Medicare prices at Lehigh Valley Hospital - Pocono
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,396 | 2.3× | $14,799–$58,309 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $58,309 | 4.0× | 1 |
| Aetna | $36,844 | 2.5× | 1 |
| UPMC | $35,308 | 2.4× | 1 |
| EmblemHealth | $31,485 | 2.2× | 1 |
| Highmark BCBS | $28,804 | 2.0× | 1 |
| HealthPartners | $14,799 | 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.
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 the average total payment to Lehigh Valley Hospital - Pocono for an inpatient hip or knee replacement stay was $14,481 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 - 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?
Lehigh Valley Hospital - Pocono's average total payment per Medicare stay is higher than 52% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Lehigh Valley Hospital - Pocono 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 $33,396 across 6 insurers, ranging from $14,799 to $58,309.