CMS Price Transparency Data

Total hip replacement

Facility: UPMC Memorial

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$15,066
about 1.1× the $13,117 Medicare rate · typically $6,836–$32,886
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,741
Above the fair price
about $4,675 over the fair price · 1.5× Medicare
Medicare pays $13,117 Fair price $15,066 This hospital $19,741

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 $19,741

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 $15,066 (about 1.1× 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 $15,066. 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

✓ 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 $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.

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Facility Profile & Credentials

  • Address: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals