CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Hanover

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,500
about 1.6× the $14,044 Medicare rate · typically $16,272–$39,503
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,004
About the fair price
about $504 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $22,500 This hospital $23,004

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 $23,004

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 $22,500 (about 1.6× the $14,044 Medicare rate). UPMC Hanover charges insurers about $23,004 — about the fair price. Located in Hanover, 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 $14,139 - $40,785 101%
Blue Cross Blue Shieldmajor $13,082 - $51,897 93%
Aetnamajor $13,783 - $54,371 98%
Cignamajor $13,875 - $45,329 99%
Humanamajor $13,214 94%
Geisinger $13,875 99%
UPMC Health Plan $23,004 - $27,445 164%
+ 3 smaller / regional plans $13,214 - $48,959

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals