Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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3243 — Elective Hip Joint Replacement

Hospital-by-hospital median negotiated rates. Hospitals are ranked by their typical (median) negotiated rate (highest first by default; click a column to re-sort). Outliers are flagged where a hospital's median is more than 2× or less than 0.5× the cohort median (red = high, green = low).

$17,043 National median
$19,159 Cohort median
1,018 hospitals (top 250 shown)
42 states (national)
↑ 129 high ↓ 68 low out of 1,018 hospitals

Showing the top 250 of 1,018 hospitals by median price (highest first). Narrow with the state or hospital filters below, or download the full CSV.

Median negotiated rate, by hospital
Ranked by typical (median) negotiated price. Red = high outlier, green = low outlier, slate = in-range. Hover for IQR.
Median negotiated rate by hospital for 3243 (APR_DRG)
HospitalStateMedianp25p75Outlier flag
CONEMAUGH MEYERSDALE MEDICAL CENTERPA$156,140$156,140$156,140high
CONEMAUGH MINERS MEDICAL CENTERPA$98,899$98,899$98,899high
PUNXSUTAWNEY AREA HOSPITALPA$86,763$79,066$94,434high
UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTERCA$78,863$74,729$78,863high
Usc Kenneth Norris Jr Cancer HospitalCA$77,207$77,207$77,207high
LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTRCA$74,006$71,159$74,006high
LAC/OLIVE VIEW-UCLA MEDICAL CENTERCA$71,728$71,159$71,728high
LOS ANGELES GENERAL MEDICAL CENTERCA$71,728$71,159$71,728high
Lac Harbor-ucla Medical CenterCA$71,728$71,159$71,728high
KECK HOSPITAL OF USCCA$70,672$67,081$74,264high
MCKENZIE COUNTY HEALTHCARE SYSTEMS INCND$70,264$70,264$70,264high
MARSHALL MEDICAL CENTERCA$70,234$70,234$70,234high
Beth Israel Deaconess Med Ctr - Transplant CenterMA$68,387$66,689$70,085high
Dana-farber Cancer InstituteMA$66,668$53,980$79,356high
HILL COUNTRY MEMORIAL HOSPITALTX$66,306$60,018$66,306high
REEDSBURG AREA MEDICAL CENTERWI$62,571$62,571$62,571high
CONEMAUGH NASON MEDICAL CENTERPA$62,497$62,497$64,372high
Post Acute Medical At Luling LlcTX$62,162$62,162$62,162high
Methodist Women's HospitalNE$60,644$47,209$60,644high
THE NEBRASKA METHODIST HOSPITALNE$60,644$47,209$60,644high
SANFORD MEDICAL CENTER BISMARCKND$59,015$59,015$59,015high
MADISON ST JOSEPH HEALTH CENTERTX$59,014$58,171$80,091high
BURLESON ST JOSEPH HEALTH CENTERTX$59,014$58,171$80,091high
WINCHESTER HOSPITALMA$58,630$54,806$62,454high
LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTONMA$58,302$58,302$58,302high
CHI ST ALEXIUS HEALTH DICKINSONND$58,108$57,114$59,102high
ST FRANCIS MEDICAL CENTERMN$58,108$57,114$59,102high
BROWN UNIVERSITY HEALTH MORTON HOSPITALMA$57,018$52,534$57,018high
CHI ST ALEXIUS HEALTH TURTLE LAKEND$56,505$56,120$59,294high
OLMSTED MEDICAL CENTERMN$56,479$56,479$56,479high
GARRISON MEMORIAL HOSPITALND$56,120$56,120$56,120high
CHI ST ALEXIUS HEALTH WILLISTONND$56,120$56,120$56,120high
LISBON AREA HEALTH SERVICESND$56,120$56,120$56,120high
CARRINGTON HEALTH CENTERND$56,120$56,120$56,120high
CHI MERCY HEALTHND$56,120$56,120$56,120high
CHI OAKES HOSPITALND$56,120$56,120$56,120high
SANFORD MEDICAL CENTER ABERDEENSD$55,052$54,088$56,015high
NEBRASKA SPINE HOSPITAL, LLCNE$54,106$54,106$54,106high
SIERRA NEVADA MEMORIAL HOSPITALCA$53,846$53,846$53,846high
AVERA QUEEN OF PEACESD$53,789$53,789$53,789high
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTHMA$53,588$52,313$54,863high
HOLY FAMILY HOSPITALMA$53,507$29,387$54,197high
BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLSTX$52,919$52,024$53,814high
COLUMBUS COMMUNITY HOSPITALWI$52,504$52,504$52,504high
CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLETX$52,217$49,731$52,217high
METHODIST HOSPITAL ATASCOSATX$51,668$44,541$51,668high
MOUNT AUBURN HOSPITALMA$51,613$50,735$52,490high
NORTHEAST HOSPITAL CORPORATIONMA$49,944$49,944$49,944high
HOWARD UNIVERSITY HOSPITAL CORPDC$49,849$45,737$54,736high
SOUTHEASTERN REGIONAL MEDICAL CENTER, INCGA$49,388$48,785$49,990high
METHODIST HOSPITALS INCIN$49,364$49,364$49,364high
DUPONT HOSPITAL LLCIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITALIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTHIN$49,276$49,276$49,276high
DUKES MEMORIAL HOSPITALIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH BEDFORD HOSPITALIN$49,276$49,276$49,276high
LUTHERAN HOSPITALOH$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITALIN$49,276$49,276$49,276high
MEMORIAL HOSPITAL OF SOUTH BENDIN$49,276$49,276$49,276high
NORTHWEST HEALTH - PORTERIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH ARNETT HOSPITALIN$49,276$49,276$49,276high
IU HEALTH WEST HOSPITALIN$49,276$49,276$49,276high
KOSCIUSKO COMMUNITY HOSPITALIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH NORTH HOSPITALIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INCIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH JAY, INC.IN$49,276$49,276$49,276high
BLUFFTON REGIONAL MEDICAL CENTERIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH PAOLI HOSPITALIN$49,276$49,276$49,276high
COMMUNITY HOSPITAL OF BREMEN INCIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH FRANKFORT INCIN$49,276$49,276$49,276high
INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITALIN$49,276$49,276$49,276high
CHILDRENS MEDICAL CENTER PLANOTX$49,087$45,014$49,967high
CHILDRENS MEDICAL CTR OF DALLASTX$49,002$44,937$49,881high
Children's Medical Center DallasTX$48,782$43,948$49,661high
MEMORIAL HOSPITAL OF LAFAYETTE COUNTYWI$48,736$48,736$48,736high
MARK TWAIN MEDICAL CENTERCA$48,730$48,730$48,730high
ST ELIZABETH COMMUNITY HOSPITALCA$48,730$48,730$52,176high
NEW ENGLAND BAPTIST HOSPITALMA$47,434$47,099$47,769high
Pam Specialty Hospital Of San AntonioTX$47,416$47,416$47,416high
Warm Springs Rehab Hospital Of San Antonio LlcTX$47,416$47,416$47,416high
CHILDREN'S HOSPITALS & CLINICS OF MNMN$47,368$37,109$49,701high
METHODIST JENNIE EDMUNDSONIA$47,209$33,006$60,644high
BETH ISRAEL DEACONESS HOSPITAL - NEEDHAMMA$46,959$46,959$46,959high
SIGNATURE HEALTHCARE BROCKTON HOSPITALMA$46,874$40,562$47,622high
CHRISTUS JASPER MEMORIAL HOSPITALTX$46,796$46,239$46,907high
CHI ST ALEXIUS HEALTHND$46,612$36,333$56,890high
BETH ISRAEL DEACONESS HOSPITAL - MILTONMA$46,516$46,516$46,516high
COOK CHILDRENS MEDICAL CENTERTX$46,151$43,214$47,273high
SANFORD USD MEDICAL CENTERSD$46,090$46,090$46,090high
MEDSTAR WASHINGTON HOSPITAL CENTERDC$45,790$45,790$45,790high
TEXAS HEALTH HARRIS METHODIST HOSPITAL STEPHENVILLTX$45,588$45,588$47,867high
MARSHFIELD MEDICAL CENTER - NEILLSVILLEWI$45,199$43,253$47,146high
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITALCA$45,099$42,678$47,752high
TEXAS CHILDRENS HOSPITALTX$45,049$45,049$49,566high
TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUSTX$45,049$45,049$49,566high
Texas Children's Hospital West CampusTX$45,049$45,049$49,566high
GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICSWI$44,736$37,953$44,736high
VALLEY CHILDREN'S HOSPITALCA$44,012$39,923$45,473high
NAVARRO REGIONAL HOSPITALTX$43,849$41,761$43,849high
FAIRVIEW HOSPITALMA$43,536$33,125$67,146high
MCLEOD HEALTH CLARENDONSC$43,450$42,184$44,293high
NEWARK BETH ISRAEL MEDICAL CENTERNJ$43,339$41,455$44,282high
GEORGE WASHINGTON UNIV HOSPITALDC$43,308$42,933$46,123high
DALLAS REGIONAL MEDICAL CENTERTX$43,278$23,803$43,278high
ANNA JAQUES HOSPITALMA$42,984$42,984$42,984high
HENDRICK MEDICAL CENTER BROWNWOODTX$42,817$40,141$42,817high
HENDRICK MEDICAL CENTERTX$42,817$38,803$42,817high
LAKE GRANBURY MEDICAL CENTERTX$42,755$40,719$46,827high
SHRINERS HOSPITALS FOR CHILDRENTX$42,505$40,867$42,505high
CHILDREN'S HOSPITAL OF SAN ANTONIOTX$42,323$42,323$44,439high
CHI ST LUKES HEALTH MEMORIAL LIVINGSTONTX$41,866$41,866$42,703high
INDIANA REGIONAL MEDICAL CENTERPA$41,744$40,138$42,937high
CHI ST ALEXIUS HEALTH DEVILS LAKEND$41,666$41,666$41,666high
OWATONNA HOSPITALMN$41,563$33,252$44,359high
MATAGORDA REGIONAL MEDICAL CENTERTX$41,315$38,694$43,163high
PETERSON REGIONAL MEDICAL CENTERTX$41,124$39,255$42,994high
ALLINA HEALTH FARIBAULT MEDICAL CENTERMN$40,721$32,688$41,921high
SAINT ANNE'S HOSPITALMA$40,681$25,207$55,026high
FORT DUNCAN MEDICAL CENTERTX$40,182$37,671$49,438high
UPLAND HILLS HEALTHWI$39,985$39,985$39,985high
ST JOSEPH'S UNIVERSITY MEDICAL CENTER INCNJ$39,843$38,527$40,501high
EL PASO CHILDREN'S HOSPITALTX$39,809$39,439$40,487high
ST LUKES HOSPITALMN$39,593$27,626$48,066high
GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICSWI$39,351$33,915$39,351high
THE UNIVERSITY HOSPITALNJ$39,320$38,930$39,806high
WESTERN WISCONSIN HEALTHWI$39,101$39,101$39,101high
KENT COUNTY MEMORIAL HOSPITALRI$38,731$34,432$38,731high
BLACK HILLS SURGICAL HOSPITAL LLCSD$38,690$38,690$38,690high
MCLEOD HEALTH CHERAWSC$38,550$37,428$39,299high
SCENIC MOUNTAIN MEDICAL CENTERTX$38,178$37,821$38,535in range
RIVER CREST HOSPTX$38,178$37,821$38,535in range
SHANNON MEDICAL CENTERTX$38,178$37,821$38,535in range
ROBERT WOOD JOHNSON UNIVERSITY HOSPITALNJ$38,174$36,549$40,570in range
BROADLAWNS MEDICAL CENTERIA$38,008$37,101$38,914in range
CHAN SOON- SHIONG MEDICAL CENTER AT WINDBERPA$37,998$37,998$37,998in range
WOODLAND HEIGHTS MEDICAL CENTERTX$37,671$35,877$37,671in range
MONMOUTH MEDICAL CENTERNJ$37,544$37,193$38,947in range
AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTERSD$37,498$23,602$46,340in range
RIVER FALLS AREA HOSPITALWI$37,277$21,474$41,820in range
GILLETTE CHILDRENS SPECIALTY HOSPITALMN$36,942$29,295$49,357in range
TRINITAS REGIONAL MEDICAL CENTERNJ$36,842$33,157$38,596in range
KNAPP MEDICAL CENTERTX$36,840$23,729$37,945in range
COOPER UNIVERSITY HOSPITALNJ$36,803$35,399$37,427in range
SIOUX CENTER HEALTHIA$36,430$35,562$37,299in range
UNITED MEDICAL CENTERDC$36,371$29,751$42,736in range
EMERSON HOSPITAL -MA$36,221$25,417$47,368in range
CHRISTUS MOTHER FRANCES HOSPITAL- WINNSBOROTX$36,122$34,402$36,122in range
JERSEY CITY MEDICAL CENTERNJ$36,062$34,600$38,742in range
CAPITAL HEALTH MEDICAL CENTER - HOPEWELLNJ$35,910$35,071$38,511in range
LAWRENCE GENERAL HOSPITALMA$35,625$26,389$54,197in range
GRINNELL REGIONAL MEDICAL CENTERIA$35,464$35,464$37,239in range
TRINITY REGIONAL MEDICAL CENTERIA$35,464$35,464$37,239in range
LAKES REGIONAL HEALTHCAREIA$35,344$30,306$36,538in range
CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGSTX$35,272$33,592$35,272in range
ST LUKES HOSPITALIA$35,209$35,209$37,848in range
UnityPoint Health - Iowa Lutheran HospitalIA$35,209$35,209$36,968in range
ST LUKES REGIONAL MEDICAL CENTERIA$35,209$32,031$36,089in range
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDIIA$35,209$35,209$36,968in range
FINLEY HOSPITALIA$35,209$35,209$36,968in range
TRINITY - BETTENDORFIA$35,209$35,209$36,968in range
ALLEN HOSPITALIA$35,209$35,209$36,968in range
NEW ULM MEDICAL CENTERMN$35,202$8,816$41,001in range
ABBOTT NORTHWESTERN HOSPITALMN$35,046$29,987$38,308in range
ST CHRISTOPHER'S HOSPITAL FOR CHILDRENPA$35,019$33,429$41,358in range
PAMPA REGIONAL MEDICAL CENTERTX$34,935$34,935$34,935in range
Pampa Regional Medical CenterTX$34,935$34,935$34,935in range
SOUTHWEST HEALTH CENTERWI$34,628$33,862$34,628in range
ALTRU HOSPITALND$34,493$34,493$43,421in range
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULACA$34,476$34,476$34,476in range
BUFFALO HOSPITALMN$34,380$30,606$41,929in range
VIRTUA OUR LADY OF LOURDES HOSPITALNJ$34,308$34,308$34,308in range
WEST JERSEY HOSPITALNJ$34,308$34,308$34,308in range
UPMC CHILDREN'S HOSPITAL OF PITTSBURGHPA$34,273$33,012$35,858in range
PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HOTX$34,153$34,153$34,751in range
CHILDRENS HOSPITAL OF WISCONSINWI$33,996$31,228$34,689in range
ANDERSON HOSPITALIL$33,965$33,965$33,965in range
Temple Women & Families Hospital$33,734$29,061$37,688in range
Temple University Hospital - Episcopal Campus$33,734$29,061$37,688in range
Temple University Hospital - Northeastern CampusPA$33,734$27,504$39,006in range
GUNDERSEN TRI-COUNTY HOSPITAL & CLINICSWI$33,635$29,627$33,635in range
COOPERMAN BARNABAS MEDICAL CENTERNJ$33,372$33,060$34,620in range
CAPITAL HEALTH REGIONAL MEDICAL CENTERNJ$33,372$32,592$35,789in range
MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUSNJ$33,372$33,060$34,620in range
SPENCER MUNICIPAL HOSPITALIA$33,258$31,503$35,138in range
NORTH ADAMS REGIONAL HOSPITAL CORPORATIONMA$33,125$33,125$46,360in range
CAMBRIDGE MEDICAL CENTERMN$33,115$32,249$38,928in range
MERCY HOSPITALMN$32,828$28,240$35,342in range
The University Of Iowa Hospitals And ClinicsIA$32,762$31,982$33,543in range
VIRTUA WILLINGBORO HOSPITALNJ$32,748$27,971$34,308in range
TRIDENT MEDICAL CENTERSC$32,507$32,507$32,507in range
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER DOWNIA$32,221$31,452$32,989in range
MARY GREELEY MEDICAL CENTERIA$32,221$30,684$33,758in range
Alice Hyde Medical CenterNY$31,922$31,686$34,738in range
Children's National Medical CenterDC$31,885$30,407$52,065in range
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEMPA$31,850$24,527$33,745in range
JEFFERSON EINSTEIN PHILADELPHIA HOSPITALPA$31,828$28,281$34,592in range
ALOMERE HEALTHMN$31,013$22,489$39,538in range
CHRISTUS SPOHN HOSPITAL KLEBERGTX$30,873$30,567$31,790in range
CHI ST LUKES HEALTH MEMORIAL LUFKINTX$30,864$30,864$31,713in range
ST FRANCIS REGIONAL MEDICAL CENTERMN$30,606$26,472$38,928in range
ENGLEWOOD HOSPITAL AND MEDICAL CENTERNJ$30,591$28,590$31,163in range
CLARA MAASS MEDICAL CENTERNJ$30,591$30,305$31,735in range
CARILION STONEWALL JACKSON HOSPITALVA$30,372$29,751$30,372in range
GRIMES ST JOSEPH HEALTH CENTERTX$30,224$29,643$30,515in range
GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICSWI$30,109$30,109$30,109in range
UPMC ShadysidePA$30,066$28,971$33,704in range
COLLETON MEDICAL CENTERSC$30,033$30,033$30,033in range
WEST VALLEY MEDICAL CENTERID$30,030$27,041$33,018in range
CARILION GILES COMMUNITY HOSPITALVA$29,997$29,383$29,997in range
RANGE REGIONAL HEALTH SERVICESMN$29,932$22,185$40,695in range
HOLY REDEEMER HOSPITAL AND MEDICAL CENTERPA$29,886$29,448$30,266in range
CAREPOINT HEALTH-CHRIST HOSPITALNJ$29,829$29,681$29,976in range
UM Capital Region Medical CenterMD$29,633$29,633$30,194in range
JEFFERSON EINSTEIN MONTGOMERY HOSPITALPA$29,602$21,873$35,047in range
HILTON HEAD REGIONAL MEDICAL CENTERSC$29,541$29,105$30,123in range
CHI HEALTH MERCY COUNCIL BLUFFSIA$29,534$21,140$33,097in range
JEFFERSON STRATFORD HOSPITALNJ$29,533$27,107$29,828in range
CHILDREN'S HOSP OF LOS ANGELESCA$29,477$25,252$35,952in range
EASTERN IDAHO REGIONAL MEDICAL CENTERID$29,024$26,925$31,511in range
DUNES SURGICAL HOSPITALSD$29,004$29,004$29,004in range
COASTAL CAROLINA HOSPITALSC$28,947$28,660$29,449in range
Hospital Of The Fox Chase Cancer CenterPA$28,930$21,393$33,734in range
UNIVERSITY MEDICAL CENTER OF EL PASOTX$28,572$18,048$28,572in range
CAREPOINT HEALTH - BAYONNE MEDICAL CENTERNJ$28,459$26,983$29,533in range
MCLEOD LORIS HOSPITALSC$28,201$27,785$29,035in range
DOMINICAN HOSPITALCA$28,185$22,915$28,185in range
PHOENIX CHILDREN'S HOSPITALAZ$28,136$28,136$28,136in range
COMMUNITY MEMORIAL HOSPITAL - VENTURACA$28,105$28,105$28,105in range
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAYNJ$28,070$27,680$28,980in range
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSETNJ$28,070$27,875$28,525in range
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTONNJ$28,070$27,680$28,980in range
Jefferson Methodist HospitalPA$28,063$27,098$31,360in range
STURDY MEMORIAL HOSPITALMA$27,887$25,352$34,858in range
TEMECULA VALLEY HOSPITALCA$27,855$27,060$28,121in range
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INCVA$27,840$24,824$30,160in range
COMMUNITY MEDICAL CENTERNJ$27,810$27,550$28,850in range
MILFORD REGIONAL MEDICAL CENTERMA$27,717$25,352$34,481in range
ST MARY'S GENERAL HOSPITALNJ$27,650$27,650$29,862in range
SAINT MICHAEL'S MEDICAL CENTERNJ$27,650$27,650$30,415in range
St. Luke's Allentown HospitalPA$27,626$25,610$28,613in range
THOMAS JEFFERSON UNIVERSITY HOSPITALPA$27,611$26,478$28,064in range
LOMA LINDA UNIVERSITY MEDICAL CENTERCA$27,363$25,163$31,860in range
VIRTUA MOUNT HOLLY HOSPITALNJ$27,290$24,072$28,589in range
RICHLAND HOSPITALWI$27,288$27,288$27,288in range
MCLEOD MEDICAL CENTER - DILLONSC$27,113$26,324$27,640in range
HOLY NAME MEDICAL CENTERNJ$27,030$26,576$27,290in range
SHORE MEDICAL CENTERNJ$26,848$26,848$29,198in range
ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUSNJ$26,848$26,848$26,848in range
Riverside Community HospitalCA$26,529$26,529$27,060in range
UPMC PINNACLE HOSPITALSPA$26,346$23,168$27,204in range
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Hospital State City Median p25 p75 Min Max Cash $ Payers Rates Outlier
           
Methodist Women's Hospital NE Elkhorn $60,644 $47,209 $60,644 $33,775 $60,644 — 2 3 ↑ 3.2× high
Texas Children's Hospital West Campus TX Houston $45,049 $45,049 $49,566 $40,544 $51,819 — 8 12 ↑ 2.4× high
Temple Women & Families Hospital — — $33,734 $29,061 $37,688 $26,964 $39,659 — 4 6 in range
Temple University Hospital - Northeastern Campus PA Philadelphia $33,734 $27,504 $39,006 $21,449 $39,659 — 4 18 in range