CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Punxsutawney Area Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,647
about 1.2× the $14,044 Medicare rate · typically $14,254–$20,566
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,210
Below the fair price — a good deal
about $2,437 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $16,647 This hospital $14,210

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

On the higher side — 7 of 8 other PA hospitals charge less.

Cheapest $13,221 Priciest $14,432

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 $16,647 (about 1.2× the $14,044 Medicare rate). Punxsutawney Area Hospital charges insurers about $14,210 — below the fair price — a good deal. Located in Punxsutawney, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $8,084 - $14,210 58%
Blue Cross Blue Shieldmajor $13,364 - $14,824 95%
Aetnamajor $14,100 - $20,253 100%
Cignamajor $14,733 105%
Humanamajor $13,960 99%
Ambetter (Centene) $14,937 106%
AmeriHealth $13,960 99%
Geisinger $14,239 - $22,735 101%
UPMC Health Plan $14,920 - $16,000 106%
+ 1 smaller / regional plan $19,893

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Facility Profile & Credentials

  • Address: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals