Major joint replacement w MCC in Pennsylvania
What Pennsylvania hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
61
Rate rows
812
Neg. median
$30,280
Min
$2,208.32
Max
$126,372
Cash median
$25,405
Across 61 Pennsylvania hospitals, the negotiated rate for Major joint replacement w MCC ranges from $2,208.32 to $126,372, with a median of $30,280. The interquartile range is $24,408 to $43,157. Cash-pay patients typically pay $25,405; gross charges median $15,047.
By payer in Pennsylvania
Top 30 payers for Major joint replacement w MCC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 36 | 197 | $34,922 |
| Aetna | 34 | 65 | $27,586 |
| upmc health plan | 33 | 71 | $29,455 |
| UnitedHealthcare | 31 | 57 | $27,671 |
| pa health & wellness | 23 | 23 | $24,794 |
| Cigna | 23 | 39 | $29,504 |
| amerihealth caritas | 18 | 18 | $24,463 |
| geisinger | 16 | 18 | $39,336 |
| upmc work partners | 15 | 15 | $9,674.01 |
| Humana | 11 | 11 | $24,709 |
| keystone health plan | 6 | 12 | $43,355 |
| innovage | 4 | 4 | $33,247 |
| keystone autism services | 4 | 4 | $34,538 |
| naphcare | 4 | 5 | $50,164 |
| health plan of upper ohio valley | 3 | 7 | $23,612 |
| Oscar Health | 3 | 3 | $53,930 |
| gateway health plan | 3 | 3 | $36,118 |
| ibc main line health | 2 | 2 | $34,982 |
| allwell pa health_wellness ma | 2 | 2 | $30,785 |
| Ambetter | 2 | 2 | $32,529 |
| city of washington | 2 | 2 | $37,038 |
| clover health | 2 | 2 | $35,449 |
| devoted health participation | 2 | 2 | $29,385 |
| elder health | 2 | 2 | $40,131 |
| First Health | 2 | 2 | $14,225 |
| health partners plans | 2 | 2 | $37,639 |
| ibc | 2 | 7 | $44,107 |
| ibc employee benefit | 2 | 2 | $34,982 |
| inspira life | 2 | 2 | $27,986 |
| jefferson health plan aca qhp exchange | 2 | 2 | $27,105 |
Hospital comparison — Major joint replacement w MCC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.