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St 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.

Surgery center nearby
$8,280
Hazelton Ambulatory Surgical Center, 15.9 mi
Outpatient here
$11,240
14 Medicare cases, APC 5115
Inpatient here
$14,593
21 Medicare stays, MS-DRG 470

Medicare prices at St Luke's Hospital - Carbon Campus

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,593$127,4278.7×$11,240
Shoulder replacement————

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 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).

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× what Medicare paid. 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?

Medicare paid St Luke's Hospital - Carbon Campus more than 55% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.