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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,809 | $105,859 | 7.1× | $11,693 |
| Shoulder replacement | — | — | — | $16,610 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,451 | 1.5× | $19,869–$25,033 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $25,033 | 1.7× | 1 |
| UPMC Health Plan | $19,869 | 1.3× | 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: 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 the average total payment to Upmc St Margaret for an inpatient hip or knee replacement stay was $14,809 (MS-DRG 470, 51 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Upmc St Margaret's average total payment per Medicare stay is higher than 58% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc St Margaret 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 $22,451 across 2 insurers, ranging from $19,869 to $25,033.