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Upmc Memorial: what a joint replacement costs

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.

Surgery center nearby
$8,963
Apple Hill Surgical Partners, 4.7 mi
Outpatient here
$11,789
Medicare allowed amount, 62 cases, APC 5115
Inpatient here
$13,314
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Upmc Memorial

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,314$43,6943.3×$11,789
Shoulder replacement———$17,178
Hip replacement after a fracture (DRG 522)$14,518$67,4324.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,6042.6×$21,618–$45,3298
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$45,3293.4×1
UnitedHealthcare$40,7853.1×1
Capital Blue Cross$39,5103.0×1
Independence Blue Cross$38,7902.9×1
Highmark BCBS$30,4192.3×1
UPMC Health Plan$27,4452.1×1
Keystone Autism Services$22,1521.7×1
Wellspan Population Health$21,6181.6×1

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.

Quality

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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Questions

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

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).

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

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.

Is a knee replacement cheaper at a surgery center near Upmc Memorial?

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.

How does Upmc Memorial compare with other Pennsylvania hospitals?

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.

What do commercial insurers pay Upmc Memorial 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 $34,604 across 8 insurers, ranging from $21,618 to $45,329.