CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Allegheny General Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,031
about 1.1× the $14,044 Medicare rate · typically $13,991–$20,554
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,817
About the fair price
about $1,214 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,031 This hospital $14,817

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 $14,817

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 $16,031 (about 1.1× the $14,044 Medicare rate). Allegheny General Hospital charges insurers about $14,817 — about the fair price. Located in Pittsburgh, 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 $13,719 - $14,817 98%
Blue Cross Blue Shieldmajor $9,037 - $33,299 64%
Aetnamajor $14,268 - $37,461 102%
Cignamajor $14,679 - $39,311 105%
Humanamajor $14,542 104%
AmeriHealth $14,405 103%
Geisinger $14,405 - $20,585 103%
Medical Mutual $39,311 280%
Molina $14,954 106%
+ 6 smaller / regional plans $13,719 - $30,940
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 320 East North Avenue, Pittsburgh, PA 15212
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals