Price AtlasInteractive atlas · All states · techysurgeon.comSt Luke's Hospital - Carbon Campus: what a joint replacement costs
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.
Medicare prices at St Luke's Hospital - Carbon Campus
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,593 | $127,427 | 8.7× | $11,240 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,202 | 2.0× | $13,487–$43,357 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Capital Blue Cross | $43,357 | 3.0× | 1 |
| Aetna | $31,838 | 2.2× | 1 |
| Cigna | $29,202 | 2.0× | 1 |
| Independence Blue Cross | $27,220 | 1.9× | 1 |
| Highmark BCBS | $13,487 | 0.9× | 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.
Quality
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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Questions
How much does Medicare pay St Luke's Hospital - Carbon Campus for a knee or hip replacement?
In 2024 the average total payment to St Luke's Hospital - Carbon Campus for an inpatient hip or knee replacement stay was $14,593 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,240 per outpatient case (APC 5115, 14 cases).
What is St Luke's Hospital - Carbon Campus's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $127,427, 8.7× 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 St Luke's Hospital - Carbon Campus?
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.
How does St Luke's Hospital - Carbon Campus compare with other Pennsylvania hospitals?
St Luke's Hospital - Carbon Campus's average total payment per Medicare stay is higher than 55% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Luke's Hospital - Carbon Campus 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 $29,202 across 5 insurers, ranging from $13,487 to $43,357.