Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Hamot: what a joint replacement costs
Erie, PA 16550 · CMS Certification Number 390063. 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 Hamot
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,667 | $105,719 | 6.3× | $13,662 |
| Shoulder replacement | — | — | — | $19,594 |
| Hip replacement after a fracture (DRG 522) | $18,724 | $119,049 | 6.4× | — |
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 343 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Hamot for a knee or hip replacement?
In 2024 Medicare paid Upmc Hamot an average of $16,667 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $13,662 per outpatient case (APC 5115, 129 cases).
What is Upmc Hamot's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,719, 6.3× what Medicare paid. 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 Hamot?
Yes for Medicare facility payments. Upmc Hamot Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $7,942 by Medicare for a knee replacement (CPT 27447), $8,725 less than an inpatient stay at Upmc Hamot. Not every patient is a surgery-center candidate.
How does Upmc Hamot compare with other Pennsylvania hospitals?
Medicare paid Upmc Hamot more than 80% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.