Hip or knee replacement (inpatient stay)
Facility: Chan Soon- Shiong Medical Center at Windber
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $13,221 compared to the $13,848 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.95× fair market pricing.
One of the lower prices — 7 of 8 other PA hospitals charge more for the same procedure.
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 $13,848 (about 1.0× the $14,044 Medicare rate). Chan Soon- Shiong Medical Center at Windber charges insurers about $13,221 — about the fair price. Located in Windber, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $2,005 - $12,815 | 14% |
| Blue Cross Blue Shieldmajor | $11,072 - $17,999 | 79% |
| Aetnamajor | $12,815 | 91% |
| Cignamajor | $17,601 | 125% |
| Humanamajor | $12,815 | 91% |
| AmeriHealth | $12,815 | 91% |
| Geisinger | $12,815 - $14,189 | 91% |
| UPMC Health Plan | $13,221 - $13,925 | 94% |
| + 2 smaller / regional plans | $12,815 - $13,041 |
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 Chan Soon- Shiong Medical Center at Windber
Compare: Hip or knee replacement (inpatient stay) at other PA hospitals
- Geisinger-Bloomsburg Hospital · Bloomsburg $12,894
- Penn State Health Lancaster Medical Center · Lancaster $13,535
- Allegheny Valley Hospital · Natrona $13,765
- Meadville Medical Center · Meadville $13,767
- Canonsburg General Hospital · Canonsburg $13,776
- Conemaugh Nason Medical Center · Roaring Spring $13,950
- Advanced Surgical Hospital · Washington $13,991
- Ahn Wexford Hospital · Wexford $14,185
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Chan Soon- Shiong Medical Center at Windber (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $11,518
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 = $11,518).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Chan Soon- Shiong Medical Center at Windber'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 $13,848 Fair BaseRate ($14,044 Medicare)
Your bill ($31,730) is $17,882 above the denoised Fair BaseRate ($13,848) and 2.3× the $14,044 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.