CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Kane

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,035
about 1.4× the $14,044 Medicare rate · typically $10,656–$26,257
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,725
Below the fair price — a good deal
about $2,310 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $20,035 This hospital $17,725

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 $17,725

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 $20,035 (about 1.4× the $14,044 Medicare rate). UPMC Kane charges insurers about $17,725 — below the fair price — a good deal. Located in Kane, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $16,380 117%
Blue Cross Blue Shieldmajor $3,082 - $21,710 22%
Aetnamajor $15,761 112%
UPMC Health Plan $23,326 166%

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Facility Profile & Credentials

  • Address: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals