Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Washington: what a joint replacement costs
Washington, PA 15301 · CMS Certification Number 390042. 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 Washington
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,588 | $43,456 | 3.0× | $11,740 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,762 | 1.3× | $15,191–$23,829 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| City of Washington | $23,829 | 1.6× | 1 |
| UnitedHealthcare | $23,110 | 1.6× | 1 |
| Health Plan of Upper Ohio Valley | $20,864 | 1.4× | 1 |
| Cigna | $18,762 | 1.3× | 1 |
| Highmark BCBS | $16,593 | 1.1× | 1 |
| Aetna | $16,144 | 1.1× | 1 |
| UPMC Health Plan | $15,191 | 1.0× | 1 |
| Coventry/First Health (rental network) | $14,225 | 1.0× | 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
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 260 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Washington for a knee or hip replacement?
In 2024 the average total payment to Upmc Washington for an inpatient hip or knee replacement stay was $14,588 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,740 per outpatient case (APC 5115, 25 cases).
What is Upmc Washington's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,456, 3.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Upmc Washington?
Yes for Medicare facility payments. Tri-State Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $6,334 less than an inpatient stay at Upmc Washington. Not every patient is a surgery-center candidate.
How does Upmc Washington compare with other Pennsylvania hospitals?
Upmc Washington's average total payment per Medicare stay is higher than 53% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc Washington 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 $18,762 across 7 insurers, ranging from $15,191 to $23,829.