Price AtlasInteractive atlas · All states · techysurgeon.comUpmc East: what a joint replacement costs
Monroeville, PA 15146 · CMS Certification Number 390328. 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 East
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,290 | $100,299 | 7.5× | $11,740 |
| Shoulder replacement | — | — | — | $16,610 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,314 | 1.6× | $17,255–$25,373 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $25,373 | 1.9× | 1 |
| UPMC Health Plan | $17,255 | 1.3× | 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: 8.2% (worse than the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 155 beds
Pennsylvania has no certificate-of-need law.
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Questions
How much does Medicare pay Upmc East for a knee or hip replacement?
In 2024 the average total payment to Upmc East for an inpatient hip or knee replacement stay was $13,290 (MS-DRG 470, 23 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, 103 cases).
What is Upmc East's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,299, 7.5× 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 East?
Yes for Medicare facility payments. Allegheny Health Network Monroeville Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $5,036 less than an inpatient stay at Upmc East. Not every patient is a surgery-center candidate.
How does Upmc East compare with other Pennsylvania hospitals?
Upmc East's average total payment per Medicare stay is lower than 80% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Upmc East 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 $21,314 across 2 insurers, ranging from $17,255 to $25,373.