Dickson City, PA 18519 · CMS Certification Number 390338. 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 | $13,820 | $100,945 | 7.3× | $11,531 |
| Shoulder replacement | — | — | — | $16,610 |
| Hip replacement after a fracture (DRG 522) | $14,541 | $129,043 | 8.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,396 | 2.4× | $13,182–$58,309 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $58,309 | 4.2× | 1 |
| Aetna | $36,844 | 2.7× | 1 |
| UPMC | $35,308 | 2.6× | 1 |
| EmblemHealth | $31,485 | 2.3× | 1 |
| Highmark BCBS | $30,138 | 2.2× | 1 |
| HealthPartners | $13,182 | 1.0× | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 24 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Lehigh Valley Hospital - Dickson City for an inpatient hip or knee replacement stay was $13,820 (MS-DRG 470, 89 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,531 per outpatient case (APC 5115, 405 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,945, 7.3× 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. Surgical Specialty Center of Northeastern Pa LLC, an orthopedic surgery center 18.8 mi away, is paid about $8,280 by Medicare for a knee replacement (CPT 27447), $5,540 less than an inpatient stay at Lehigh Valley Hospital - Dickson City. Not every patient is a surgery-center candidate.
Lehigh Valley Hospital - Dickson City's average total payment per Medicare stay is lower than 61% 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 $33,396 across 6 insurers, ranging from $13,182 to $58,309.