Price AtlasInteractive atlas · All states · techysurgeon.comUpmc Horizon: what a joint replacement costs
Greenville, PA 16125 · CMS Certification Number 390178. 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 Horizon
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,700 | $73,811 | 5.4× | $11,740 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,363 | 1.2× | $8,933–$18,890 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $18,890 | 1.4× | 1 |
| UPMC Health Plan | $16,363 | 1.2× | 1 |
| Elevance/Anthem/Empire | $8,933 | 0.7× | 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% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 201 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc Horizon for a knee or hip replacement?
In 2024 the average total payment to Upmc Horizon for an inpatient hip or knee replacement stay was $13,700 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,740 per outpatient case (APC 5115, 79 cases).
What is Upmc Horizon's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,811, 5.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Upmc Horizon compare with other Pennsylvania hospitals?
Upmc Horizon's average total payment per Medicare stay is lower than 66% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc Horizon 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 $16,363 across 3 insurers, ranging from $8,933 to $18,890.