Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Passavant: what a joint replacement costs
Pittsburgh, PA 15237 · CMS Certification Number 390107. 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 Passavant
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,848 | $91,318 | 7.1× | $11,694 |
| Shoulder replacement | $17,369 | $104,768 | 6.0× | $16,259 |
| Hip replacement after a fracture (DRG 522) | $15,735 | $88,760 | 5.6× | — |
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 346 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Passavant for a knee or hip replacement?
In 2024 Medicare paid Upmc Passavant an average of $12,848 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $11,694 per outpatient case (APC 5115, 218 cases).
What is Upmc Passavant's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,318, 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 Passavant?
Yes for Medicare facility payments. Western Pa Surgery Center, an orthopedic surgery center 5.4 mi away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $4,594 less than an inpatient stay at Upmc Passavant. Not every patient is a surgery-center candidate.
How does Upmc Passavant compare with other Pennsylvania hospitals?
Medicare paid Upmc Passavant less than 92% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.