CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,836
about 1.4× the $14,044 Medicare rate · typically $15,883–$29,936
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,406
Above the fair price
about $8,570 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $19,836 This hospital $28,406

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 $13,221 Priciest $28,406

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 $19,836 (about 1.4× the $14,044 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $28,406 — above the fair price. Located in Philadelphia, 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 $19,836. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $3,308 - $43,735 24%
Blue Cross Blue Shieldmajor $16,358 - $80,456 116%
Aetnamajor $17,340 - $40,441 123%
Cignamajor $4,910 - $40,661 35%
Humanamajor $16,849 120%
Kaiser Permanentemajor $4,084 - $16,358 29%
Clover Health $17,340 123%
Devoted Health $17,176 122%
Geisinger $16,849 - $58,146 120%
HealthPartners $16,849 120%
Oscar Health $36,325 259%
UPMC Health Plan $16,358 116%
+ 21 smaller / regional plans $1,683 - $56,625
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals