Hip or knee replacement (inpatient stay)
Facility: St Clair Hospital
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 $16,380 (about 1.2× the $14,044 Medicare rate). St Clair Hospital charges insurers about $24,644, or about $14,122 in cash — above the fair price. Located in Pittsburgh, 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 $16,380. 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.
5 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 | $13,634 - $24,644 | 97% |
| Blue Cross Blue Shieldmajor | $12,292 - $31,686 | 88% |
| Aetnamajor | $14,044 - $27,356 | 100% |
| Cignamajor | $14,453 - $26,040 | 103% |
| Humanamajor | $13,634 | 97% |
| AmeriHealth | $13,634 | 97% |
| Geisinger | $14,453 | 103% |
| HealthPartners | $14,589 | 104% |
| UPMC Health Plan | $14,511 - $24,422 | 103% |
| + 3 smaller / regional plans | $13,907 - $30,678 |
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 St Clair Hospital
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.