CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Riverview Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,196
about 1.0× the $14,044 Medicare rate · typically $11,153–$15,034
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,932
About the fair price
about $1,264 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $14,196 This hospital $12,932 Cash price $12,867

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 7 of 8 other AL hospitals charge more for the same procedure.

Cheapest $12,077 Priciest $14,044

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $14,196 (about 1.0× the $14,044 Medicare rate). Riverview Regional Medical Center charges insurers about $12,932, or about $12,867 in cash — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3,407 - $12,868 24%
Blue Cross Blue Shieldmajor $12,482 - $12,868 89%
Aetnamajor $19,301 137%
Cignamajor $12,868 - $23,382 92%
Humanamajor $18,520 132%
Devoted Health $13,125 93%
Health Net $19,945 142%
+ 6 smaller / regional plans $4,279 - $20,588
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 South Third Street, Gadsden, AL 35901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals