Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Northwest: what a joint replacement costs
Seneca, PA 16346 · CMS Certification Number 390091. 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 Northwest
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,740 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,668 | — | $16,375–$18,961 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $18,961 | — | 1 |
| UPMC Health Plan | $16,375 | — | 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: 3.8% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 173 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Northwest for a knee or hip replacement?
The Medicare allowed amount averaged $11,740 per outpatient hip or knee replacement case (APC 5115, 21 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Upmc Northwest 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 $17,668 across 2 insurers, ranging from $16,375 to $18,961.