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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid St Luke's Hospital - Monroe Campus an average of $13,224 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $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× 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 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.
Medicare paid St Luke's Hospital - Monroe Campus less than 84% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.