CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Geisinger-Community Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,482
about 1.4× the $14,044 Medicare rate · typically $16,247–$26,014
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,830
Above the fair price
about $7,348 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $19,482 This hospital $26,830 Cash price $83,927 Hospital's list price $135,365

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $13,221 Priciest $26,830

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,482 (about 1.4× the $14,044 Medicare rate). Geisinger-Community Medical Center charges insurers about $26,830, or about $83,927 in cash — above the fair price. Located in Scranton, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,482. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $42,516 303%
Blue Cross Blue Shieldmajor $13,355 - $44,429 95%
Aetnamajor $12,133 - $79,866 86%
Cignamajor $18,029 128%
Humanamajor $11,787 84%
Ambetter (Centene) $27,156 193%
Geisinger $11,556 - $26,504 82%
Health Net $79,324 565%
+ 3 smaller / regional plans $67,683 - $121,829
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1822 Mulberry Street, Scranton, PA 18510
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals