CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Geisinger St. Luke's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,456
about 1.2× the $14,044 Medicare rate · typically $15,019–$18,879
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,073
About the fair price
about $1,383 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,456 This hospital $15,073

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 $15,073

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 $16,456 (about 1.2× the $14,044 Medicare rate). Geisinger St. Luke's Hospital charges insurers about $15,073 — about the fair price. Located in Orwigsburg, 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 $15,286 109%
Blue Cross Blue Shieldmajor $14,153 - $42,976 101%
Aetnamajor $14,436 - $31,838 103%
Cignamajor $29,202 208%
Humanamajor $14,720 105%
Geisinger $14,436 103%
UPMC Health Plan $14,861 106%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Paramount Boulevard, Orwigsburg, PA 17961
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals