Price AtlasInteractive atlas · All states · techysurgeon.comUpmc St Margaret: what a joint replacement costs
Pittsburgh, PA 15215 · CMS Certification Number 390102. 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 St Margaret
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,809 | $105,859 | 7.1× | $11,693 |
| Shoulder replacement | — | — | — | $16,610 |
Quality
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 250 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc St Margaret for a knee or hip replacement?
In 2024 Medicare paid Upmc St Margaret an average of $14,809 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $11,693 per outpatient case (APC 5115, 215 cases).
What is Upmc St Margaret's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,859, 7.1× what Medicare paid. 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 St Margaret?
Yes for Medicare facility payments. Upmc East Side Surgery Center, an orthopedic surgery center 2.0 mi away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $6,555 less than an inpatient stay at Upmc St Margaret. Not every patient is a surgery-center candidate.
How does Upmc St Margaret compare with other Pennsylvania hospitals?
Medicare paid Upmc St Margaret more than 58% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.