CMS Price Transparency Data

Total knee replacement

Facility: UPMC Pinnacle Hospitals

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13,121
about 1.0× the $13,117 Medicare rate · typically $8,984–$15,294
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,878
About the fair price
about $243 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $13,121 This hospital $12,878

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 $3,138 Priciest $12,878

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $13,121 (about 1.0× the $13,117 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $12,878 — about the fair price. Located in Harrisburg, 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 $1,017 - $13,543 8%
Blue Cross Blue Shieldmajor $11,003 - $23,764 84%
Aetnamajor $5,666 - $13,201 43%
Cignamajor $13,290 101%
Humanamajor $13,037 99%
UPMC Health Plan $6,000 - $14,888 46%
+ 2 smaller / regional plans $13,669 - $23,764

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: 409 South Second Street, Harrisburg, PA 17104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals