York, PA 17408 · CMS Certification Number 390101. 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 | $13,314 | $43,694 | 3.3× | $11,789 |
| Shoulder replacement | — | — | — | $17,178 |
| Hip replacement after a fracture (DRG 522) | $14,518 | $67,432 | 4.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,604 | 2.6× | $21,618–$45,329 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $45,329 | 3.4× | 1 |
| UnitedHealthcare | $40,785 | 3.1× | 1 |
| Capital Blue Cross | $39,510 | 3.0× | 1 |
| Independence Blue Cross | $38,790 | 2.9× | 1 |
| Highmark BCBS | $30,419 | 2.3× | 1 |
| UPMC Health Plan | $27,445 | 2.1× | 1 |
| Keystone Autism Services | $22,152 | 1.7× | 1 |
| Wellspan Population Health | $21,618 | 1.6× | 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: 4.2% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 104 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Upmc Memorial for an inpatient hip or knee replacement stay was $13,314 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,789 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,694, 3.3× 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. Apple Hill Surgical Partners, an orthopedic surgery center 4.7 mi away, is paid about $8,963 by Medicare for a knee replacement (CPT 27447), $4,351 less than an inpatient stay at Upmc Memorial. Not every patient is a surgery-center candidate.
Upmc Memorial's average total payment per Medicare stay is lower than 78% 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 $34,604 across 8 insurers, ranging from $21,618 to $45,329.