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Hip replacement in Pennsylvania: what insurers pay

Posted commercial rates at 22 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Paoli Hospital Paoli$7,9380.6×22026-04-01
Bryn Mawr Hospital Bryn Mawr$8,0300.6×22026-04-01
Upmc Passavant Pittsburgh$8,0920.7×12026-03-07
Lankenau Medical Center Wynnewood$8,1160.7×22026-04-01
Upmc St Margaret Pittsburgh$8,4390.7×12026-03-06
Upmc East Monroeville$8,4390.7×12026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$9,7800.8×12026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$10,8550.9×52026-09-15
Riddle Memorial Hospital Media$12,9201.0×22026-04-01
Jefferson Abington Hospital Abington$13,3281.1×52026-09-15
Jefferson Health-Northeast Philadelphia$13,5891.0×42026-09-15
Upmc Presbyterian Shadyside Pittsburgh$14,8431.2×12026-03-06
Temple University Hospital Philadelphia$19,0221.4×62026-04-13
Upmc Washington Washington$22,3921.8×22026-03-06
Thomas Jefferson University Hospital Philadelphia$23,6361.8×42026-09-15
Jefferson Hospital Jefferson Hills$30,1532.4×52026-04-14
Allegheny Valley Hospital Natrona$31,2422.5×52026-04-14
Lehigh Valley Hospital Allentown$31,2592.4×72026-07-01
Forbes Hospital Monroeville$35,2782.8×52026-04-14
Ahn Wexford Hospital Wexford$37,6303.0×52026-04-14
Allegheny General Hospital Pittsburgh$41,0713.3×52026-04-14

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$17,6781.3×42026-03-06
Upmc St Margaret Pittsburgh$25,0341.9×12026-03-06
Upmc East Monroeville$25,3731.9×12026-03-06
Upmc Mercy Pittsburgh$25,7421.9×12026-03-06
Upmc Passavant Pittsburgh$29,5542.2×12026-03-07
Jefferson Abington Hospital Abington$30,3482.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$31,4282.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$32,8922.5×12026-03-06
Riddle Memorial Hospital Media$33,3582.4×42026-04-01
Paoli Hospital Paoli$33,5992.5×42026-04-01
Lehigh Valley Hospital Allentown$36,1632.6×52026-07-01
Bryn Mawr Hospital Bryn Mawr$36,6562.6×42026-04-01
Magee Womens Hospital Of Upmc Health System Pittsburgh$39,1522.9×12026-03-06
Jefferson Health-Northeast Philadelphia$39,3382.8×52026-09-15
Temple University Hospital Philadelphia$42,2733.0×72026-04-13
Lankenau Medical Center Wynnewood$43,3973.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$47,2743.4×52026-09-15

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$30,0311.4×42026-03-06
Upmc St Margaret Pittsburgh$46,1022.2×12026-03-06
Upmc Mercy Pittsburgh$46,7002.2×12026-03-06
Upmc East Monroeville$46,7282.2×12026-03-06
Jefferson Abington Hospital Abington$47,7232.3×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$49,4212.4×52026-09-15
Paoli Hospital Paoli$53,7082.6×42026-04-01
Upmc Passavant Pittsburgh$54,4262.6×12026-03-07
Riddle Memorial Hospital Media$54,7522.5×42026-04-01
Bryn Mawr Hospital Bryn Mawr$57,6422.6×42026-04-01
Lehigh Valley Hospital Allentown$61,4242.8×42026-07-01
Jefferson Health-Northeast Philadelphia$61,8602.8×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$64,2333.1×12026-03-06
Upmc Presbyterian Shadyside Pittsburgh$64,7823.1×12026-03-06
Temple University Hospital Philadelphia$65,6143.0×72026-04-13
Lankenau Medical Center Wynnewood$68,7023.3×42026-04-01
Thomas Jefferson University Hospital Philadelphia$74,3393.4×52026-09-15

Questions

How much do insurers pay for hip replacement in Pennsylvania?

22 Pennsylvania hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 21 hospitals is $13,589, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.