Total hip replacement
Facility: Lehigh Valley Hospital - Pocono
Billing Code: 27130 (CPT)
A typical price — 5 charge more and 3 charge less, among the 9 PA hospitals compared.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Total hip replacement is about $2,960 (about 0.2× the $13,117 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $4,780 — above the fair price. Located in East Stroudsburg, 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 $2,960. 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
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 | $892 - $13,959 | 7% |
| Blue Cross Blue Shieldmajor | $986 - $59,954 | 8% |
| Aetnamajor | $1,009 - $74,438 | 8% |
| Cignamajor | $1,623 - $13,825 | 12% |
| Humanamajor | $1,671 - $14,227 | 13% |
| Ambetter (Centene) | $4,780 - $40,709 | 36% |
| AmeriHealth | $854 - $13,825 | 7% |
| Devoted Health | $1,671 - $14,227 | 13% |
| Geisinger | $854 - $31,827 | 7% |
| HealthPartners | $1,048 - $26,844 | 8% |
| UPMC Health Plan | $1,277 - $65,365 | 10% |
| + 5 smaller / regional plans | $1,048 - $78,270 |
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: Total hip replacement at other PA hospitals
- Conemaugh Memorial Medical Center · Johnstown $2,568
- UPMC Wellsboro · Wellsboro $2,944
- Advanced Surgical Hospital · Washington $3,138
- Schuylkill Medical Center - South Jackson Street · Pottsville $4,882
- Geisinger Jersey Shore Hospital · Jersey Shore $5,147
- UPMC Kane · Kane $5,415
- Lehigh Valley Hospital - Hazleton · Hazleton $6,288
- Lehigh Valley Hospital - Dickson City · Dickson City $6,696
Insurance negotiated median for the same procedure, sorted lowest first.