CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lehigh Valley Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,249
about 1.4× the $14,044 Medicare rate · typically $15,833–$23,877
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,087
About the fair price
about $2,838 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $20,249 This hospital $23,087

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 $23,087

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

A fair price for a Hip or knee replacement (inpatient stay) is about $20,249 (about 1.4× the $14,044 Medicare rate). Lehigh Valley Hospital charges insurers about $23,087 — about the fair price. Located in Allentown, PA.

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 $16,363 - $33,234 117%
Blue Cross Blue Shieldmajor $11,727 - $44,617 84%
Aetnamajor $17,181 - $42,096 122%
Cignamajor $16,854 - $71,567 120%
Humanamajor $17,345 124%
Ambetter (Centene) $37,718 269%
AmeriHealth $16,363 - $16,854 117%
Devoted Health $17,345 124%
Geisinger $16,854 - $41,018 120%
HealthPartners $17,181 - $30,047 122%
UPMC Health Plan $17,345 - $40,386 124%
+ 6 smaller / regional plans $16,363 - $37,488

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Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals