CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Lititz

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,644
about 1.3× the $14,044 Medicare rate · typically $15,147–$28,982
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,871
Above the fair price
about $9,227 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $18,644 This hospital $27,871

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 $27,871

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 $18,644 (about 1.3× the $14,044 Medicare rate). UPMC Lititz charges insurers about $27,871 — above the fair price. Located in Lititz, 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 $18,644. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $18,924 - $40,785 135%
Blue Cross Blue Shieldmajor $17,509 - $39,324 125%
Aetnamajor $18,447 131%
Cignamajor $18,570 - $45,329 132%
Geisinger $18,570 132%
UPMC Health Plan $23,004 - $27,445 164%
+ 2 smaller / regional plans $17,686 - $37,098

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: 1500 Highlands Drive, Lititz, PA 17543
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals