Hip or knee replacement (inpatient stay)
Facility: UPMC Horizon
Billing Code: 470 (MS-DRG)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $16,050 (about 1.1× the $14,044 Medicare rate). UPMC Horizon charges insurers about $15,704 — about the fair price. Located in Greenville, 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
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 | $15,560 | 111% |
| Blue Cross Blue Shieldmajor | $8,933 - $20,854 | 64% |
| Aetnamajor | $14,978 - $15,269 | 107% |
| Cignamajor | $15,705 | 112% |
| AmeriHealth | $15,705 | 112% |
| UPMC Health Plan | $9,470 - $17,159 | 67% |
| + 1 smaller / regional plan | $15,705 |
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 UPMC Horizon
Compare: Hip or knee replacement (inpatient stay) at other PA hospitals
- Chan Soon- Shiong Medical Center at Windber · Windber $13,221
- Penn State Health Lancaster Medical Center · Lancaster $13,535
- Meadville Medical Center · Meadville $13,726
- Allegheny Valley Hospital · Natrona $13,765
- Canonsburg General Hospital · Canonsburg $13,776
- Advanced Surgical Hospital · Washington $13,991
- Ahn Wexford Hospital · Wexford $14,185
- Punxsutawney Area Hospital · Punxsutawney $14,210
Insurance negotiated median for the same procedure, sorted lowest first.