Hip or knee replacement (inpatient stay)
Facility: Lehigh Valley Hospital - Pocono
Billing Code: 470 (MS-DRG)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $18,462 (about 1.3× the $14,044 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $20,055 — about the fair price. Located in East Stroudsburg, 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
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 | $15,832 - $40,670 | 113% |
| Blue Cross Blue Shieldmajor | $15,528 - $32,499 | 111% |
| Aetnamajor | $15,985 - $34,299 | 114% |
| Cignamajor | $15,680 - $56,997 | 112% |
| Humanamajor | $16,137 | 115% |
| Ambetter (Centene) | $35,092 | 250% |
| AmeriHealth | $15,680 | 112% |
| Devoted Health | $16,137 | 115% |
| Geisinger | $15,985 - $36,346 | 114% |
| HealthPartners | $15,985 - $26,887 | 114% |
| UPMC Health Plan | $16,137 - $33,837 | 115% |
| + 4 smaller / regional plans | $15,680 - $37,488 |
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.
Other Procedures at Lehigh Valley Hospital - Pocono
Compare: Hip or knee replacement (inpatient stay) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $13,221
- Penn State Health Lancaster Medical Center · Lancaster $13,535
- Meadville Medical Center · Meadville $13,726
- Allegheny Valley Hospital · Natrona $13,765
- Canonsburg General Hospital · Canonsburg $13,776
- Advanced Surgical Hospital · Washington $13,991
- Ahn Wexford Hospital · Wexford $14,185
- Punxsutawney Area Hospital · Punxsutawney $14,210
Insurance negotiated median for the same procedure, sorted lowest first.