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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,681 | 1.2× | $17,630–$23,825 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $23,825 | 1.4× | 1 |
| UPMC Health Plan | $19,681 | 1.2× | 1 |
| UnitedHealthcare | $17,630 | 1.1× | 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: 4.9% (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 the average total payment to Upmc Hamot for an inpatient hip or knee replacement stay was $16,667 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Upmc Hamot's average total payment per Medicare stay is higher than 80% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc Hamot 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 $19,681 across 3 insurers, ranging from $17,630 to $23,825.