Total knee replacement
Facility: UPMC Horizon
Billing Code: 27447 (CPT)
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 Total knee replacement is about $9,061 (about 0.7× the $13,117 Medicare rate). UPMC Horizon charges insurers about $12,880 — above the fair price. Located in Greenville, 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 $9,061. 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.
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 | $12,880 - $13,126 | 98% |
| Blue Cross Blue Shieldmajor | $1,542 - $23,019 | 12% |
| Aetnamajor | $12,635 - $12,880 | 96% |
| Cignamajor | $13,248 | 101% |
| AmeriHealth | $13,248 | 101% |
| UPMC Health Plan | $5,734 - $16,363 | 44% |
| + 1 smaller / regional plan | $13,248 |
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: Total knee replacement at other PA hospitals
- Advanced Surgical Hospital · Washington $3,138
- UPMC Wellsboro · Wellsboro $3,363
- Jefferson Abington Hospital · Abington $6,011
- UPMC Kane · Kane $6,479
- Conemaugh Miners Medical Center · Hastings $6,561
- Conemaugh Memorial Medical Center · Johnstown $7,408
- Jefferson Lansdale Hospital · Lansdale $7,742
- UPMC St Margaret · Pittsburgh $10,591
Insurance negotiated median for the same procedure, sorted lowest first.