CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Bedford Memorial

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,825
about 1.2× the $14,044 Medicare rate · typically $14,491–$21,563
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,233
About the fair price
about $1,592 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,825 This hospital $15,233

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 $15,233

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 $16,825 (about 1.2× the $14,044 Medicare rate). UPMC Bedford Memorial charges insurers about $15,233 — about the fair price. Located in Everett, PA.

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 $15,093 107%
Blue Cross Blue Shieldmajor $14,105 - $21,656 100%
Aetnamajor $14,528 - $14,810 103%
Cignamajor $15,234 108%
AmeriHealth $15,234 108%
UPMC Health Plan $9,224 - $17,107 66%
+ 1 smaller / regional plan $15,234

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Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals