Lehighton, PA 18235 · CMS Certification Number 390335. 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 | $14,593 | $127,427 | 8.7× | $11,240 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 56 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid St Luke's Hospital - Carbon Campus an average of $14,593 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $11,240 per outpatient case (APC 5115, 14 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $127,427, 8.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hazelton Ambulatory Surgical Center, an orthopedic surgery center 15.9 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $6,313 less than an inpatient stay at St Luke's Hospital - Carbon Campus. Not every patient is a surgery-center candidate.
Medicare paid St Luke's Hospital - Carbon Campus more than 55% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.