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Upmc Jameson: what a joint replacement costs

New Castle, PA 16105 · CMS Certification Number 390016. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$7,932
Orthopaedic Surgery Center the, 14.6 mi
Outpatient here
$11,208
Medicare allowed amount, 38 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Upmc Jameson

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,208
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,200—$15,333–$19,8854
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Occunet$19,885—1
UnitedHealthcare$19,640—1
UPMC Health Plan$16,760—1
Cigna$15,333—1

From the hospital's price-transparency file (2026-03-06); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-06); commercial plans, dollar-amount contracts only.

Quality

Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 175 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Upmc Jameson for a knee or hip replacement?

The Medicare allowed amount averaged $11,208 per outpatient hip or knee replacement case (APC 5115, 38 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Upmc Jameson?

Yes for Medicare facility payments. Orthopaedic Surgery Center the, an orthopedic surgery center 14.6 mi away, is paid about $7,932 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Upmc Jameson for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $18,200 across 4 insurers, ranging from $15,333 to $19,885.