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Hip replacement in Pennsylvania: what insurers pay

Posted commercial rates at 87 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Cole Coudersport$6,9360.6×12026-03-06
Paoli Hospital Paoli$7,9380.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,0300.6×22026-04-01
Lankenau Medical Center Wynnewood$8,1160.7×22026-04-01
Upmc Northwest Seneca$9,8560.8×22026-03-06
Upmc East Monroeville$10,4860.8×22026-03-06
Upmc Horizon Greenville$12,6331.0×12026-03-06
Riddle Memorial Hospital Media$12,9201.0×22026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$12,9241.0×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$13,1901.0×52026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$13,7101.1×52026-09-21
Wayne Memorial Hospital Honesdale$13,7871.1×12026-09-16
Upmc Passavant Pittsburgh$13,8241.1×22026-03-07
Upmc St Margaret Pittsburgh$14,1541.1×22026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$14,5241.2×62026-09-15
Upmc Kane Kane$15,2481.2×22026-03-06
Jefferson Abington Hospital Abington$15,5571.2×62026-09-15
Upmc Somerset Somerset$16,5611.3×22026-03-06
Upmc Hamot Erie$16,6951.3×32026-03-06
Upmc Altoona Altoona$17,1311.4×12026-03-06
Wellspan Surgery And Rehabilitation Hospital York$17,2021.4×42026-01-01
Temple University Hospital Philadelphia$17,3341.3×92026-04-13
Jefferson Health-Northeast Philadelphia$18,1931.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$19,0291.5×22026-03-06
Jefferson Lansdale Hospital Lansdale$19,0601.5×62026-09-15
Upmc Washington Washington$21,9271.8×42026-03-06
Wellspan York Hospital York$21,9471.8×32026-01-01
Wellspan Ephrata Community Hospital Ephrata$21,9471.8×32026-01-01
Upmc Memorial York$22,4031.8×62026-03-06
Saint Vincent Hospital Erie$22,9351.8×62026-04-14
Jefferson Hospital Jefferson Hills$23,3261.9×62026-04-14
Wellspan Evangelical Community Hospital Lewisburg$23,5771.9×52026-01-01
Upmc Carlisle Carlisle$23,7481.8×42026-03-06
Upmc Lititz Lititz$23,7481.9×42026-03-06
Upmc Hanover Hanover$23,7481.9×42026-03-06
St Mary Medical Center Langhorne$25,1902.0×72026-03-31
Thomas Jefferson University Hospital Philadelphia$25,6851.9×52026-09-15
Allegheny Valley Hospital Natrona$26,1292.1×62026-04-14
Canonsburg General Hospital Canonsburg$26,1962.1×62026-04-14
Grove City Hospital Grove City$26,3282.1×52026-04-14
Forbes Hospital Monroeville$26,9212.1×62026-04-14
West Penn Hospital Pittsburgh$27,0462.2×62026-04-14
Allegheny General Hospital Pittsburgh$27,0962.2×62026-04-14
St Luke'S Miners Memorial Hospital Coaldale$27,5302.2×22026-02-27
Ahn Wexford Hospital Wexford$28,1772.3×62026-04-14
St Clair Hospital Pittsburgh$28,6962.3×72026-03-31
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01
St Luke'S Hospital Bethlehem Bethlehem$31,3982.4×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$31,3982.5×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$31,3982.4×32026-02-27
St Luke'S Hospital - Upper Bucks Campus Quakertown$32,0752.6×22026-02-26
Geisinger St. Luke'S Hospital Orwigsburg$34,2292.7×22026-02-26
Penn State Health Hampden Medical Center Enola$42,9033.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$43,3753.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$44,0473.5×12026-03-27
St Luke'S Hospital - Easton Campus Easton$44,8283.4×22026-02-26
Wellspan Chambersburg Hospital Chambersburg$45,2303.5×32026-01-01
Lehigh Valley Hospital - Dickson City Dickson City$45,3943.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$51,4984.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$51,8514.2×82026-07-01
Penn State Health St. Joseph Reading$56,7764.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$59,0584.5×82026-07-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$13,2521.0×32026-08-06
Geisinger-Bloomsburg Hospital Bloomsburg$14,7021.1×72026-07-01
Conemaugh Miners Medical Center Hastings$14,7551.1×52026-07-30
Upmc Cole Coudersport$15,2341.1×42026-03-06
Troy Community Hospital Troy$15,8701.2×32026-03-31
Punxsutawney Area Hospital Punxsutawney$16,0001.2×72026-03-02
Upmc Horizon Greenville$16,3631.2×32026-03-06
Upmc Somerset Somerset$17,0651.3×42026-03-06
Conemaugh Nason Medical Center Roaring Spring$17,5241.3×62026-07-30
Upmc Northwest Seneca$17,6681.3×22026-03-06
Upmc Kane Kane$18,0491.4×42026-03-06
Upmc Bedford Memorial Everett$18,1281.4×22026-03-06
Upmc Jameson New Castle$18,2001.4×42026-03-06
Upmc Washington Washington$18,7621.4×82026-03-06
Titusville Area Hospital Titusville$18,8401.4×52026-09-11
Upmc Hamot Erie$19,6811.5×32026-03-06
Shriners Hospitals For Children - Philadelphia Philadelphia$20,2051.4×12026-03-19
Upmc East Monroeville$21,3141.6×22026-03-06
Uniontown Hospital Uniontown$21,5331.6×62026-07-09
Upmc Mckeesport Mc Keesport$21,8121.6×22026-03-06
Upmc St Margaret Pittsburgh$22,4511.7×22026-03-06
Wayne Memorial Hospital Honesdale$22,7381.7×62026-09-16
Conemaugh Memorial Medical Center Johnstown$23,2001.7×82026-04-15
Upmc Mercy Pittsburgh$23,3151.8×22026-03-06
Roxborough Memorial Hospital Philadelphia$23,9661.7×62024-06-21
Temple Health - Chestnut Hill Hospital Philadelphia$24,1121.7×82026-04-08
Lower Bucks Hospital Bristol$24,9231.9×62026-09-01
Geisinger-Lewistown Hospital Lewistown$24,9691.9×72026-07-01
Upmc Altoona Altoona$25,0151.9×52026-03-06
Robert Packer Hospital Sayre$25,5771.9×92026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$25,9781.9×62026-09-21
St Clair Hospital Pittsburgh$26,0401.9×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$27,2202.0×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$27,2202.0×52026-02-27
Upmc Presbyterian Shadyside Pittsburgh$28,0542.1×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$28,1002.1×62026-07-01
Wellspan Evangelical Community Hospital Lewisburg$28,3992.1×72026-01-01
Jefferson Lansdale Hospital Lansdale$28,9322.2×92026-09-15
Upmc Williamsport Williamsport$29,1052.2×32026-03-06
Upmc Muncy Muncy$29,1052.2×32026-03-06
Upmc Wellsboro Wellsboro$29,1052.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$29,2022.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$29,2022.1×52026-02-27
Magee Womens Hospital Of Upmc Health System Pittsburgh$29,4862.2×22026-03-06
Upmc Passavant Pittsburgh$29,5542.2×32026-03-07
Wellspan Good Samaritan Hospital Lebanon$29,7842.1×52026-01-01
St Mary Medical Center Langhorne$30,0242.3×212026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$30,5202.3×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$31,8382.4×52026-02-27
Jefferson Abington Hospital Abington$31,9562.4×92026-09-15
Lehigh Valley Hospital - Macungie Macungie$32,6202.3×62026-07-01
Riddle Memorial Hospital Media$33,3582.4×42026-04-01
Lehigh Valley Hospital - Pocono East Stroudsburg$33,3962.5×62026-07-01
Lehigh Valley Hospital - Dickson City Dickson City$33,3962.5×62026-07-01
Paoli Hospital Paoli$33,5992.5×42026-04-01
St Luke'S Hospital - Easton Campus Easton$33,9382.4×42026-02-26
Hospital Of The Fox Chase Cancer Center Philadelphia$34,2962.4×52026-04-08
Upmc Memorial York$34,6042.6×82026-03-06
Wellspan Chambersburg Hospital Chambersburg$34,6702.5×32026-01-01
Jefferson Einstein Montgomery Hospital East Norriton$35,3832.6×62026-09-15
Lehigh Valley Hospital Allentown$36,1632.6×52026-07-01
Penn State Health Holy Spirit Medical Center Camp Hill$36,3582.6×42026-03-27
Penn State Health Hampden Medical Center Enola$36,3582.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$36,3582.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$36,6562.6×42026-04-01
Upmc Lititz Lititz$37,0982.8×72026-03-06
Penn State Health St. Joseph Reading$37,5482.7×52026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$37,7282.8×72026-07-01
Jefferson Health-Northeast Philadelphia$39,7342.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$40,4453.0×52026-01-01
Upmc Carlisle Carlisle$40,7853.0×72026-03-06
Temple University Hospital Philadelphia$42,2733.0×102026-04-13
Upmc Hanover Hanover$43,0573.2×82026-03-06
Geisinger Community Medical Center Scranton$43,3353.3×82026-07-01
Lankenau Medical Center Wynnewood$43,3973.3×42026-04-01
Wellspan Surgery And Rehabilitation Hospital York$50,4883.8×42026-01-01
Thomas Jefferson University Hospital Philadelphia$51,3073.6×92026-09-15
Wellspan York Hospital York$54,5504.1×42026-01-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Meyersdale Medical Center Meyersdale$23,5211.1×32026-08-06
Conemaugh Miners Medical Center Hastings$24,6071.2×52026-07-30
Punxsutawney Area Hospital Punxsutawney$25,1601.2×72026-03-02
Upmc Horizon Greenville$25,7311.2×32026-03-06
Upmc Cole Coudersport$26,5541.3×42026-03-06
Geisinger-Bloomsburg Hospital Bloomsburg$27,0761.3×72026-07-01
Troy Community Hospital Troy$28,0841.3×32026-03-31
Upmc Jameson New Castle$28,4251.4×42026-03-06
Conemaugh Nason Medical Center Roaring Spring$28,4971.4×72026-07-30
Upmc Somerset Somerset$29,1571.4×42026-03-06
Upmc Northwest Seneca$30,3341.4×22026-03-06
Upmc Washington Washington$30,5581.5×82026-03-06
Upmc Hamot Erie$30,8461.5×32026-03-06
Upmc Bedford Memorial Everett$30,9221.5×22026-03-06
Upmc Kane Kane$31,0351.5×42026-03-06
Upmc Passavant Pittsburgh$32,5021.6×32026-03-07
Titusville Area Hospital Titusville$32,6611.6×52026-09-11
Wayne Memorial Hospital Honesdale$35,7561.7×62026-09-16
Upmc East Monroeville$36,8221.8×22026-03-06
Upmc Mckeesport Mc Keesport$37,0101.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$37,9151.7×82026-04-08
Upmc St Margaret Pittsburgh$38,6721.8×22026-03-06
Uniontown Hospital Uniontown$38,9131.9×62026-07-09
Lower Bucks Hospital Bristol$38,9621.9×62026-09-01
Upmc Altoona Altoona$39,3361.9×52026-03-06
Upmc Mercy Pittsburgh$39,7731.9×22026-03-06
Conemaugh Memorial Medical Center Johnstown$40,0821.9×82026-04-15
Roxborough Memorial Hospital Philadelphia$40,3101.8×62024-06-21
St Clair Hospital Pittsburgh$40,9481.9×72026-03-31
Holy Redeemer Hospital And Medical Center Meadowbrook$41,4002.0×62026-09-21
St Luke'S Hospital - Upper Bucks Campus Quakertown$42,0192.0×52026-02-26
St Luke'S Miners Memorial Hospital Coaldale$44,5262.1×42026-02-27
Robert Packer Hospital Sayre$45,3442.2×82026-03-31
Jefferson Lansdale Hospital Lansdale$45,4962.2×92026-09-15
Upmc Wellsboro Wellsboro$45,7672.2×32026-03-06
St Luke'S Hospital Bethlehem Bethlehem$45,9202.1×52026-02-26
St Luke'S Hospital - Carbon Campus Lehighton$45,9202.1×52026-02-27
Geisinger-Lewistown Hospital Lewistown$45,9842.2×72026-07-01
Upmc Muncy Muncy$47,1322.2×32026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$47,3962.3×22026-03-06
Lehigh Valley Hospital - Hazleton Hazleton$48,1362.3×62026-07-01
Upmc Williamsport Williamsport$49,0142.3×32026-03-06
St Luke'S Hospital - Easton Campus Easton$49,2712.2×42026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$50,0652.4×52026-02-27
Jefferson Abington Hospital Abington$50,2512.4×92026-09-15
St Mary Medical Center Langhorne$50,3202.4×212026-03-31
Upmc Presbyterian Shadyside Pittsburgh$50,6442.4×22026-03-06
Geisinger St. Luke'S Hospital Orwigsburg$50,7222.4×42026-02-26
Upmc Memorial York$53,0922.5×82026-03-06
Paoli Hospital Paoli$53,7082.6×42026-04-01
Lehigh Valley Hospital - Macungie Macungie$53,7882.5×62026-07-01
Hospital Of The Fox Chase Cancer Center Philadelphia$53,9302.4×52026-04-08
Lehigh Valley Hospital - Pocono East Stroudsburg$54,5012.6×62026-07-01
Riddle Memorial Hospital Media$54,7522.5×42026-04-01
Lehigh Valley Hospital - Dickson City Dickson City$55,5122.6×62026-07-01
Jefferson Einstein Montgomery Hospital East Norriton$55,6402.6×62026-09-15
Upmc Hanover Hanover$56,2622.7×82026-03-06
Penn State Health Holy Spirit Medical Center Camp Hill$57,1722.6×42026-03-27
Penn State Health Hampden Medical Center Enola$57,1722.6×42026-03-27
Penn State Health Lancaster Medical Center Lancaster$57,1722.7×42026-03-27
Bryn Mawr Hospital Bryn Mawr$57,6422.6×42026-04-01
Upmc Lititz Lititz$59,1812.8×72026-03-06
Penn State Health St. Joseph Reading$59,2382.7×52026-03-27
Wilkes-Barre General Hospital Wilkes-Barre$59,3282.8×72026-07-01
Lehigh Valley Hospital Allentown$61,4242.8×42026-07-01
Jefferson Health-Northeast Philadelphia$62,4832.8×62026-09-15
Wellspan Ephrata Community Hospital Ephrata$63,6003.0×52026-01-01
Upmc Carlisle Carlisle$64,1343.0×72026-03-06
Temple University Hospital Philadelphia$65,6143.0×102026-04-13
Lankenau Medical Center Wynnewood$68,7023.3×42026-04-01
Geisinger Community Medical Center Scranton$70,9603.4×82026-07-01
Wellspan Surgery And Rehabilitation Hospital York$76,8703.6×42026-01-01
Thomas Jefferson University Hospital Philadelphia$80,6803.6×92026-09-15
Wellspan York Hospital York$85,6544.1×42026-01-01

Questions

How much do insurers pay for hip replacement in Pennsylvania?

87 Pennsylvania hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 62 hospitals is $23,452, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.