Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Somerset: what a joint replacement costs
Somerset, PA 15501 · CMS Certification Number 390039. 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.
Medicare prices at Upmc Somerset
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,571 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,065 | — | $16,607–$18,542 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $20,954 | — | 1 |
| Geisinger | $18,542 | — | 1 |
| UPMC Health Plan | $17,065 | — | 1 |
| Highmark BCBS | $16,607 | — | 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
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 111 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Somerset for a knee or hip replacement?
The Medicare allowed amount averaged $12,571 per outpatient hip or knee replacement case (APC 5115, 23 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Upmc Somerset 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 $17,065 across 3 insurers, ranging from $16,607 to $18,542.