Major joint replacement w/o MCC in Pennsylvania
What Pennsylvania hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
62
Rate rows
1,811
Neg. median
$19,213
Min
$2,208.32
Max
$81,673
Cash median
$17,550
Across 62 Pennsylvania hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $2,208.32 to $81,673, with a median of $19,213. The interquartile range is $15,690 to $27,622. Cash-pay patients typically pay $17,550; gross charges median $7,612.05.
By payer in Pennsylvania
Top 30 payers for Major joint replacement w/o MCC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 36 | 202 | $21,687 |
| Aetna | 34 | 65 | $17,654 |
| upmc health plan | 33 | 71 | $18,731 |
| UnitedHealthcare | 31 | 56 | $16,985 |
| Cigna | 23 | 38 | $18,762 |
| pa health & wellness | 23 | 23 | $15,941 |
| amerihealth caritas | 18 | 18 | $15,749 |
| geisinger | 16 | 18 | $25,015 |
| upmc work partners | 15 | 15 | $9,674.01 |
| Humana | 11 | 11 | $15,713 |
| keystone health plan | 6 | 12 | $27,392 |
| innovage | 4 | 4 | $21,319 |
| naphcare | 4 | 5 | $32,303 |
| keystone autism services | 4 | 4 | $22,195 |
| Oscar Health | 3 | 3 | $34,296 |
| health plan of upper ohio valley | 3 | 7 | $15,191 |
| gateway health plan | 3 | 3 | $23,343 |
| ibc main line health | 2 | 2 | $22,246 |
| allwell pa health_wellness ma | 2 | 2 | $19,577 |
| Ambetter | 2 | 2 | $20,686 |
| city of washington | 2 | 2 | $23,829 |
| clover health | 2 | 2 | $22,910 |
| elder health | 2 | 2 | $25,936 |
| First Health | 2 | 2 | $14,225 |
| geisinger health plan | 2 | 2 | $67,278 |
| health partners plans | 2 | 2 | $24,326 |
| ibc | 2 | 13 | $32,023 |
| ibc employee benefit | 2 | 2 | $22,246 |
| inspira life | 2 | 2 | $17,797 |
| jefferson health plan aca qhp exchange | 2 | 2 | $17,237 |
Hospital comparison — Major joint replacement w/o MCC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.