▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in PA
Hospitals
61
Min
$23,377
Median
$26,959
Max
$52,549
Range multiplier
2.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 36 | 197 | $4,284.90 | $34,922 | $126,372 | 29.5× |
| upmc health plan | 33 | 71 | $10,092 | $29,455 | $45,767 | 4.5× |
| Aetna | 34 | 65 | $10,092 | $27,586 | $95,139 | 9.4× |
| UnitedHealthcare | 31 | 57 | $10,092 | $27,671 | $71,010 | 7.0× |
| Cigna | 23 | 39 | $10,092 | $29,504 | $87,223 | 8.6× |
| pa health & wellness | 23 | 23 | $2,315.52 | $24,794 | $30,956 | 13.4× |
| geisinger | 16 | 18 | $21,819 | $39,336 | $93,611 | 4.3× |
| amerihealth caritas | 18 | 18 | $2,208.32 | $24,463 | $30,956 | 14.0× |
| upmc work partners | 15 | 15 | $9,223.57 | $9,674.01 | $10,451 | 1.1× |
| keystone health plan | 6 | 12 | $20,780 | $43,355 | $80,804 | 3.9× |
| Humana | 11 | 11 | $20,780 | $24,709 | $33,442 | 1.6× |
| ibc | 2 | 7 | $19,623 | $44,107 | $100,205 | 5.1× |
| health plan of upper ohio valley | 3 | 7 | $21,668 | $23,612 | $32,808 | 1.5× |
| Medicare | 2 | 7 | $23,925 | $24,709 | $32,383 | 1.4× |
| naphcare | 4 | 5 | $38,759 | $50,164 | $50,796 | 1.3× |
| Medicare Advantage | 2 | 5 | $25,938 | $32,155 | $36,510 | 1.4× |
| innovage | 4 | 4 | $24,709 | $33,247 | $34,111 | 1.4× |
| keystone autism services | 4 | 4 | $33,247 | $34,538 | $44,047 | 1.3× |
| Oscar Health | 3 | 3 | $53,930 | $53,930 | $53,930 | 1.0× |
| gateway health plan | 3 | 3 | $23,425 | $36,118 | $36,118 | 1.5× |
| ibc main line health | 2 | 2 | $30,280 | $34,982 | $39,684 | 1.3× |
| allwell pa health_wellness ma | 2 | 2 | $26,647 | $30,785 | $34,922 | 1.3× |
| Ambetter | 2 | 2 | $31,746 | $32,529 | $33,312 | 1.0× |
| city of washington | 2 | 2 | $37,038 | $37,038 | $37,038 | 1.0× |
| clover health | 2 | 2 | $35,449 | $35,449 | $35,449 | 1.0× |
| devoted health participation | 2 | 2 | $25,436 | $29,385 | $33,335 | 1.3× |
| elder health | 2 | 2 | $40,131 | $40,131 | $40,131 | 1.0× |
| First Health | 2 | 2 | $14,225 | $14,225 | $14,225 | 1.0× |
| health partners plans | 2 | 2 | $37,639 | $37,639 | $37,639 | 1.0× |
| ibc employee benefit | 2 | 2 | $30,280 | $34,982 | $39,684 | 1.3× |
| inspira life | 2 | 2 | $24,224 | $27,986 | $31,748 | 1.3× |
| intergroup service corp | 1 | 2 | $7,568.70 | $28,590 | $49,612 | 6.6× |
| jefferson health plan aca qhp exchange | 2 | 2 | $23,750 | $27,105 | $30,459 | 1.3× |
| keystone first | 2 | 2 | $35,115 | $35,115 | $35,115 | 1.0× |
| keystone first vip choice | 2 | 2 | $25,678 | $29,348 | $33,018 | 1.3× |
| optum va ccn | 2 | 2 | $24,224 | $27,986 | $31,748 | 1.3× |
| pennsylvania health and wellness | 2 | 2 | $36,787 | $36,787 | $36,787 | 1.0× |
| perennial | 2 | 2 | $28,100 | $32,464 | $36,827 | 1.3× |
| prime health services | 2 | 2 | $46,137 | $46,137 | $46,137 | 1.0× |
| qualcare jcc | 1 | 2 | $67,726 | $96,963 | $126,201 | 1.9× |
| senior life | 2 | 2 | $23,149 | $23,149 | $23,149 | 1.0× |
| st agnes | 2 | 2 | $24,224 | $27,986 | $31,748 | 1.3× |
| upmc commercial | 2 | 2 | $56,800 | $72,011 | $87,223 | 1.5× |
| va_champus_tricare | 2 | 2 | $24,224 | $27,986 | $31,748 | 1.3× |
| provider partners health plan | 1 | 1 | $33,970 | $33,970 | $33,970 | 1.0× |
| Anthem BCBS | 1 | 1 | $14,047 | $14,047 | $14,047 | 1.0× |
| wtc health program | 1 | 1 | $44,589 | $44,589 | $44,589 | 1.0× |
| WellCare | 1 | 1 | $27,856 | $27,856 | $27,856 | 1.0× |
| fidelis | 1 | 1 | $27,045 | $27,045 | $27,045 | 1.0× |
| intergroup | 1 | 1 | $3,704.00 | $3,704.00 | $3,704.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| American Oncologic Hospial | Philadelphia | PA | 5 | — | — | $15,505 | $52,549 | $58,346 |
| Wellsboro | Wellsboro | PA | 3 | — | — | $42,185 | $47,698 | $51,765 |
| Muncy Valley Hospital | Muncy | PA | 5 | — | — | $2,208.32 | $46,450 | $55,449 |
| Upmc Lititz | Lititz | PA | 8 | — | — | $27,254 | $43,602 | $71,280 |
| Temple University Hospital | Philadelphia | PA | 18 | — | — | $33,442 | $40,131 | $126,372 |
| Jeanes Hospital | Philadelphia | PA | 17 | — | — | $33,442 | $39,761 | $93,611 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 27 | — | $35,914 | $25,444 | $36,668 | $126,201 |
| Titusville Area Hospital | Titusville | PA | 5 | — | — | $20,784 | $33,671 | $46,493 |
| Upmc Hanover | Hanover | PA | 10 | — | — | $20,572 | $33,247 | $85,652 |
| Memorial Hospital | York | PA | 9 | — | — | $21,312 | $33,018 | $71,280 |
| Upmc Shadyside | Pittsburgh | PA | 7 | — | — | $10,293 | $31,529 | $118,755 |
| Upmc St Margaret | Pittsburgh | PA | 4 | — | — | $24,735 | $31,243 | $102,395 |
| Upmc Mercy Hospital | Pittsburgh | PA | 7 | — | — | $10,293 | $30,238 | $66,718 |
| Upmc Mckeesport | Mckeesport | PA | 6 | — | — | $10,293 | $29,589 | $54,872 |
| Upmc Hamot | Erie | PA | 12 | — | — | $9,495.41 | $29,072 | $70,203 |
| Aria Health | Philadelphia | PA | 23 | — | $27,386 | $19,623 | $27,858 | $56,800 |
| Community General Osteopathic Hosp. | Harrisburg | PA | 9 | — | — | $10,451 | $27,064 | $69,493 |
| Upmc Pinnacle Hospitals | Harrisburg | PA | 9 | — | — | $10,451 | $27,064 | $69,493 |
| Altoona Regional Health System | Altoona | PA | 9 | — | — | $9,674.01 | $26,959 | $45,492 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 9 | — | — | $9,674.01 | $26,959 | $45,492 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 9 | — | — | $9,674.01 | $26,959 | $45,492 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 9 | — | — | $9,674.01 | $26,959 | $45,492 |
| Charles Cole Memorial Hospital | Coudersport | PA | 4 | — | — | $18,541 | $25,982 | $31,638 |
| Upmc East Hospital | Monroeville | PA | 8 | — | — | $10,293 | $24,864 | $103,690 |
| Divine Providence Hospital | Williamsport | PA | 7 | — | — | $23,183 | $24,794 | $57,664 |
| Lock Haven Hospital | Lock Haven | PA | 7 | — | — | $23,183 | $24,794 | $57,664 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 7 | — | — | $23,183 | $24,794 | $57,664 |
| The Washington Hospital | Washington | PA | 10 | — | — | $14,225 | $24,305 | $37,038 |
| Whs - Greene | Waynesburg | PA | 10 | — | — | $14,225 | $24,305 | $37,038 |
| Upmc Horizon Hospital | Greenville | PA | 9 | — | — | $9,470.42 | $24,288 | $38,405 |
| Upmc Northwest Hospital | Seneca | PA | 8 | — | — | $3,704.00 | $23,962 | $38,547 |
| Upmc Jameson | New Castle | PA | 9 | — | — | $22,035 | $23,884 | $30,884 |
| Upmc Passavant | Pittsburgh | PA | 8 | — | — | $10,293 | $23,835 | $104,622 |
| Meadville Medical Center | Meadville | PA | 1 | — | — | $23,796 | $23,796 | $23,796 |
| Curahealth Heritage Valley | Beaver | PA | 7 | $66,149 | $23,425 | $7,568.70 | $23,634 | $49,612 |
| Upmc Bedford Memorial Hospital | Everett | PA | 8 | — | — | $9,223.57 | $23,549 | $39,882 |
| Upmc Carlisle | Carlisle | PA | 10 | — | — | $4,284.90 | $23,377 | $78,106 |
| St Christophers Hospital For Childr | Philadelphia | PA | 0 | — | — | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | — | — | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | — | — | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | — | — | — | — | — |
| Hospital Of The Univ Of Penna | Philadelphia | PA | 0 | — | — | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | — | — | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | — | — | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | — | — | — | — | — |
| Bryn Mawr Hospital | Bryn Mawr | PA | 0 | — | — | — | — | — |
| Paoli Hospital | Paoli | PA | 0 | — | — | — | — | — |
| Armstrong County Memorial | Kittanning | PA | 0 | — | — | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | — | — | — | — | — |
| Lankenau Medical Center | Wynnewood | PA | 0 | — | — | — | — | — |
| Doylestown Hospital | Doylestown | PA | 0 | $113,892 | $113,892 | — | — | — |
| Riddle Hospital | Media | PA | 0 | — | — | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | — | — | — | — | — |
| Pennsylvania Hospital Of Uphs | Philadelphia | PA | 0 | — | — | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | — | — | — | — | — |
| Milton S. Hershey Medical Center | Hershey | PA | 0 | — | — | — | — | — |
| Physicians Care Surgical Hospital | Royersford | PA | 0 | $28,396 | $17,712 | — | — | — |
| Hampden Medical Center | Enola | PA | 0 | — | — | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | — | — | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | — | — | — | — | — |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | — | — | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.