CMS Price Transparency Data

Total hip replacement

Facility: UPMC Northwest

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,744
about 1.0× the $13,117 Medicare rate · typically $5,999–$12,879
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,758
About the fair price
about $14 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $12,744 This hospital $12,758

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 $12,758

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 $12,744 (about 1.0× the $13,117 Medicare rate). UPMC Northwest charges insurers about $12,758 — 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $12,880 - $13,494 98%
Blue Cross Blue Shieldmajor $6,409 - $13,247 49%
Aetnamajor $12,635 - $12,880 96%
AmeriHealth $13,248 101%
UPMC Health Plan $5,007 - $16,375 38%
+ 1 smaller / regional plan $13,248

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals