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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,787 | $78,195 | 5.7× | $11,740 |
| Shoulder replacement | $18,198 | $96,066 | 5.3× | $16,610 |
| Hip replacement after a fracture (DRG 522) | $15,362 | $87,820 | 5.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,105 | 2.1× | $27,622–$32,919 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Geisinger | $32,919 | 2.4× | 1 |
| UPMC Health Plan | $29,105 | 2.1× | 1 |
| Highmark BCBS | $27,622 | 2.0× | 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.
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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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).
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.
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.
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.