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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,824 | $48,398 | 3.1× | $11,814 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,098 | 2.3× | $27,445–$45,329 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $45,329 | 2.9× | 1 |
| UnitedHealthcare | $40,785 | 2.6× | 1 |
| Capital Blue Cross | $39,324 | 2.5× | 1 |
| Independence Blue Cross | $37,098 | 2.3× | 1 |
| Highmark BCBS | $29,303 | 1.9× | 1 |
| Keystone Autism Services | $28,298 | 1.8× | 1 |
| UPMC Health Plan | $27,445 | 1.7× | 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.
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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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).
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.
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.
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.
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.