CMS Price Transparency Data

Total hip replacement

Facility: UPMC Altoona

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9,542
about 0.7× the $13,117 Medicare rate · typically $2,849–$13,300
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,187
Above the fair price
about $3,645 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $9,542 This hospital $13,187

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 $2,568 Priciest $13,187

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

A fair price for a Total hip replacement is about $9,542 (about 0.7× the $13,117 Medicare rate). UPMC Altoona charges insurers about $13,187 — above the fair price. Located in Altoona, 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 $9,542. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $13,126 100%
Blue Cross Blue Shieldmajor $2,469 - $13,248 19%
Cignamajor $13,248 101%
AmeriHealth $13,248 101%
UPMC Health Plan $4,895 - $21,547 37%
+ 1 smaller / regional plan $13,248

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