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Upmc Hanover: what a joint replacement costs

Hanover, PA 17331 · CMS Certification Number 390233. 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
$8,953
Westminster Surgery Center, LLC, 16.8 mi
Outpatient here
$12,295
Medicare allowed amount, 143 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Upmc Hanover

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,295
Shoulder replacement———$17,503
Hip replacement after a fracture (DRG 522)$19,317$48,5442.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$43,057—$21,143–$51,8978
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Capital Blue Cross$51,897—1
Independence Blue Cross$48,959—1
Aetna$48,390—1
Cigna$45,329—1
UnitedHealthcare$40,785—1
Highmark BCBS$30,581—1
UPMC Health Plan$27,445—1
Keystone Autism Services$21,143—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: 4.9% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 100 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $12,295 per outpatient hip or knee replacement case (APC 5115, 143 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Upmc Hanover?

Yes for Medicare facility payments. Westminster Surgery Center, LLC, an orthopedic surgery center 16.8 mi away, is paid about $8,953 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Upmc Hanover 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 $43,057 across 8 insurers, ranging from $21,143 to $51,897.