Hip or knee replacement (inpatient stay)
Facility: Lehigh Valley Hospital - Macungie
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 $19,591 (about 1.4× the $14,044 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $19,624 — about the fair price. Located in Macungie, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $12,745 - $35,166 | 91% |
| Aetnamajor | $13,383 - $35,783 | 95% |
| Cignamajor | $13,128 - $32,996 | 93% |
| Humanamajor | $12,873 | 92% |
| Ambetter (Centene) | $29,379 | 209% |
| AmeriHealth | $13,128 | 93% |
| Geisinger | $13,128 - $31,950 | 93% |
| HealthPartners | $13,383 - $24,215 | 95% |
| UPMC Health Plan | $13,510 - $39,049 | 96% |
| + 5 smaller / regional plans | $13,128 - $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 - Macungie
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.