Stroudsburg, PA 18360 · CMS Certification Number 390330. 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 | $13,224 | $152,486 | 11.5× | $11,978 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,596 | $163,552 | 10.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,838 | 2.4× | $27,220–$43,357 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Capital Blue Cross | $43,357 | 3.3× | 1 |
| Highmark BCBS | $39,411 | 3.0× | 1 |
| Aetna | $31,838 | 2.4× | 1 |
| Cigna | $29,202 | 2.2× | 1 |
| Independence Blue Cross | $27,220 | 2.1× | 1 |
From the hospital's price-transparency file (2026-02-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-27); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 98 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to St Luke's Hospital - Monroe Campus for an inpatient hip or knee replacement stay was $13,224 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,978 per outpatient case (APC 5115, 23 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $152,486, 11.5× 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. Pocono Ambulatory Surgery Center, Limited, an orthopedic surgery center same ZIP away, is paid about $8,601 by Medicare for a knee replacement (CPT 27447), $4,623 less than an inpatient stay at St Luke's Hospital - Monroe Campus. Not every patient is a surgery-center candidate.
St Luke's Hospital - Monroe Campus's average total payment per Medicare stay is lower than 84% 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 $31,838 across 5 insurers, ranging from $27,220 to $43,357.