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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,554 | 2.3× | $17,908–$32,502 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Health Plan of Upper Ohio Valley | $32,502 | 2.5× | 1 |
| Highmark BCBS | $29,554 | 2.3× | 1 |
| UPMC Health Plan | $17,908 | 1.4× | 1 |
From the hospital's price-transparency file (2026-03-07); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-07); commercial plans, dollar-amount contracts only.
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 the average total payment to Upmc Passavant for an inpatient hip or knee replacement stay was $12,848 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Upmc Passavant's average total payment per Medicare stay is lower than 92% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc Passavant 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 $29,554 across 3 insurers, ranging from $17,908 to $32,502.