Total hip replacement
Facility: UPMC Memorial
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $19,741 compared to the $15,107 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.31× fair market pricing.
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 Total hip replacement is about $15,107 (about 1.2× the $13,117 Medicare rate). UPMC Memorial charges insurers about $19,741 — above the fair price. Located in York, 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 $15,107. 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
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 | $1,017 - $13,202 | 8% |
| Blue Cross Blue Shieldmajor | $2,013 - $43,482 | 15% |
| Aetnamajor | $12,869 | 98% |
| Cignamajor | $12,955 - $25,000 | 99% |
| Geisinger | $12,955 | 99% |
| UPMC Health Plan | $5,240 - $22,497 | 40% |
| + 2 smaller / regional plans | $19,741 - $22,309 |
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 Memorial
Compare: Total hip replacement at other PA hospitals
- Conemaugh Memorial Medical Center · Johnstown $2,568
- UPMC Wellsboro · Wellsboro $2,944
- Advanced Surgical Hospital · Washington $3,138
- UPMC Kane · Kane $5,415
- UPMC St Margaret · Pittsburgh $10,591
- UPMC Somerset · Somerset $12,267
- UPMC Passavant · Pittsburgh $12,267
- UPMC Greene · Waynesburg $12,390
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at UPMC Memorial (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,198
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $17,198).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask UPMC Memorial's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $15,107 Fair BaseRate ($13,117 Medicare)
Your bill ($47,378) is $32,271 above the denoised Fair BaseRate ($15,107) and 3.6× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.