Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Pinnacle Hospitals: what a joint replacement costs
Harrisburg, PA 17104 · CMS Certification Number 390067. 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 Pinnacle Hospitals
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,138 | $50,806 | 3.1× | $11,761 |
| Shoulder replacement | $21,366 | $63,017 | 2.9× | $16,511 |
| Hip replacement after a fracture (DRG 522) | $17,538 | $67,233 | 3.8× | — |
Quality
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 737 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Pinnacle Hospitals for a knee or hip replacement?
In 2024 the average total payment to Upmc Pinnacle Hospitals for an inpatient hip or knee replacement stay was $16,138 (MS-DRG 470, 117 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,761 per outpatient case (APC 5115, 578 cases).
What is Upmc Pinnacle Hospitals's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,806, 3.1× 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 Pinnacle Hospitals?
Yes for Medicare facility payments. Susquehanna Valley Surgical Center, an orthopedic surgery center 3.3 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $7,322 less than an inpatient stay at Upmc Pinnacle Hospitals. Not every patient is a surgery-center candidate.
How does Upmc Pinnacle Hospitals compare with other Pennsylvania hospitals?
Upmc Pinnacle Hospitals's average total payment per Medicare stay is higher than 72% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.