CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,346
about 1.4× the $14,044 Medicare rate · typically $13,940–$28,811
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,075
About the fair price
about $729 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $20,346 This hospital $21,075

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 $21,075

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 $20,346 (about 1.4× the $14,044 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $21,075 — about the fair price. Located in Pittsburgh, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $28,715 - $45,732 204%
Aetnamajor $12,687 - $13,955 90%
UPMC Health Plan $20,969 - $21,075 149%
+ 1 smaller / regional plan $14,819 - $40,692

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Facility Profile & Credentials

  • Address: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens