CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Penn State Health Lancaster Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,710
about 1.2× the $14,044 Medicare rate · typically $14,133–$27,211
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,535
Below the fair price — a good deal
about $3,175 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $16,710 This hospital $13,535

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 7 of 8 other PA hospitals charge more for the same procedure.

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 $16,710 (about 1.2× the $14,044 Medicare rate). Penn State Health Lancaster Medical Center charges insurers about $13,535 — below the fair price — a good deal. Located in Lancaster, 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 $13,535 - $40,399 96%
Blue Cross Blue Shieldmajor $13,400 - $34,307 95%
Aetnamajor $13,535 - $35,305 96%
Cignamajor $37,671 268%
Humanamajor $13,671 97%
AmeriHealth $13,535 96%
Cigna HealthSpring $13,671 97%
Geisinger $13,535 96%
HealthPartners $13,806 98%
UPMC Health Plan $14,213 101%
+ 2 smaller / regional plans $13,941 - $16,919

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Facility Profile & Credentials

  • Address: 2160 State Road, Lancaster, PA 17601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals