CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Altoona

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,808
about 1.2× the $14,044 Medicare rate · typically $14,173–$17,216
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,144
About the fair price
about $336 over the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $16,808 This hospital $17,144

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 $17,144

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 $16,808 (about 1.2× the $14,044 Medicare rate). UPMC Altoona charges insurers about $17,144 — about the fair price. Located in Altoona, 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

✓ 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 $16,985 - $28,930 121%
Blue Cross Blue Shieldmajor $15,874 - $17,144 113%
Aetnamajor $26,736 190%
Cignamajor $17,144 - $23,155 122%
AmeriHealth $17,144 122%
Geisinger $25,015 178%
UPMC Health Plan $9,674 - $21,547 69%
+ 1 smaller / regional plan $17,144

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Facility Profile & Credentials

  • Address: 620 Howard Avenue, Altoona, PA 16601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals