Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Upmc 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,740
79 Medicare cases, APC 5115
Inpatient here
$13,700
27 Medicare stays, MS-DRG 470

Medicare prices at Upmc Horizon

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,700$73,8115.4×$11,740
Shoulder replacement————

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.

Open the interactive price tagBuild a reportAll Pennsylvania hospitals

Questions

How much does Medicare pay Upmc Horizon for a knee or hip replacement?

In 2024 Medicare paid Upmc Horizon an average of $13,700 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $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× what Medicare paid. 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?

Medicare paid Upmc Horizon less than 66% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.