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Upmc Williamsport: what a joint replacement costs

Williamsport, PA 17701 · CMS Certification Number 390045. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,740
Medicare allowed amount, 161 cases, APC 5115
Inpatient here
$13,787
Avg total payment (incl. patient share), 39 Medicare stays, MS-DRG 470

Medicare prices at Upmc Williamsport

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,787$78,1955.7×$11,740
Shoulder replacement$18,198$96,0665.3×$16,610
Hip replacement after a fracture (DRG 522)$15,362$87,8205.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$29,1052.1×$27,622–$32,9193
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Geisinger$32,9192.4×1
UPMC Health Plan$29,1052.1×1
Highmark BCBS$27,6222.0×1

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: 3.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 255 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Upmc Williamsport for an inpatient hip or knee replacement stay was $13,787 (MS-DRG 470, 39 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, 161 cases).

What is Upmc Williamsport's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,195, 5.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Upmc Williamsport compare with other Pennsylvania hospitals?

Upmc Williamsport's average total payment per Medicare stay is lower than 63% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Upmc Williamsport 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 $29,105 across 3 insurers, ranging from $27,622 to $32,919.