CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,082
about 1.2× the $14,044 Medicare rate · typically $14,601–$21,703
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,141
About the fair price
about $2,059 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $17,082 This hospital $19,141

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 $19,141

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 $17,082 (about 1.2× the $14,044 Medicare rate). Magee Womens Hospital of UPMC Health System charges insurers about $19,141 — about the fair price. Located in Pittsburgh, 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 $18,387 131%
Blue Cross Blue Shieldmajor $17,025 - $55,243 121%
Aetnamajor $17,877 - $18,728 127%
AmeriHealth $18,387 131%
UPMC Health Plan $17,173 - $20,090 122%

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Facility Profile & Credentials

  • Address: 300 Halket Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals