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Upmc Lititz: what a joint replacement costs

Lititz, PA 17543 · CMS Certification Number 390068. 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
$8,576
Surgery Center of Lancaster LLC, 7.5 mi
Outpatient here
$11,814
Medicare allowed amount, 102 cases, APC 5115
Inpatient here
$15,824
Avg total payment (incl. patient share), 16 Medicare stays, MS-DRG 470

Medicare prices at Upmc Lititz

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,824$48,3983.1×$11,814
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,0982.3×$27,445–$45,3297
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$45,3292.9×1
UnitedHealthcare$40,7852.6×1
Capital Blue Cross$39,3242.5×1
Independence Blue Cross$37,0982.3×1
Highmark BCBS$29,3031.9×1
Keystone Autism Services$28,2981.8×1
UPMC Health Plan$27,4451.7×1

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: 4.3% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 148 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Upmc Lititz for an inpatient hip or knee replacement stay was $15,824 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,814 per outpatient case (APC 5115, 102 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,398, 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 Lititz?

Yes for Medicare facility payments. Surgery Center of Lancaster LLC, an orthopedic surgery center 7.5 mi away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447), $7,248 less than an inpatient stay at Upmc Lititz. Not every patient is a surgery-center candidate.

How does Upmc Lititz compare with other Pennsylvania hospitals?

Upmc Lititz's average total payment per Medicare stay is higher than 66% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Upmc Lititz 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 $37,098 across 7 insurers, ranging from $27,445 to $45,329.