Hip or knee replacement (inpatient stay)
Facility: UPMC Northwest
Billing Code: 470 (MS-DRG)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $16,282 (about 1.2× the $14,044 Medicare rate). UPMC Northwest charges insurers about $15,390 — about the fair price. Located in Seneca, PA.
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
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 | $14,964 - $15,676 | 107% |
| Blue Cross Blue Shieldmajor | $14,251 - $20,931 | 101% |
| Aetnamajor | $14,679 - $14,964 | 105% |
| AmeriHealth | $15,391 | 110% |
| UPMC Health Plan | $9,224 - $16,817 | 66% |
| + 2 smaller / regional plans | $3,704 - $15,391 |
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.
Other Procedures at UPMC Northwest
Compare: Hip or knee replacement (inpatient stay) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $13,221
- Penn State Health Lancaster Medical Center · Lancaster $13,535
- Meadville Medical Center · Meadville $13,726
- Allegheny Valley Hospital · Natrona $13,765
- Canonsburg General Hospital · Canonsburg $13,776
- Advanced Surgical Hospital · Washington $13,991
- Ahn Wexford Hospital · Wexford $14,185
- Punxsutawney Area Hospital · Punxsutawney $14,210
Insurance negotiated median for the same procedure, sorted lowest first.