Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Altoona: what a joint replacement costs
Altoona, PA 16601 · CMS Certification Number 390073. 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 Altoona
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,397 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,015 | — | $20,139–$28,930 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $28,930 | — | 1 |
| Aetna | $26,736 | — | 1 |
| Geisinger | $25,015 | — | 1 |
| Cigna | $23,155 | — | 1 |
| UPMC Health Plan | $20,139 | — | 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: 4.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 398 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Altoona for a knee or hip replacement?
The Medicare allowed amount averaged $12,397 per outpatient hip or knee replacement case (APC 5115, 63 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Upmc Altoona?
Yes for Medicare facility payments. Center for The Surgical Arts, LLC, an orthopedic surgery center same ZIP away, is paid about $8,396 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Upmc Altoona 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 $25,015 across 5 insurers, ranging from $20,139 to $28,930.