CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Medical Center Enterprise

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,875
about 1.1× the $14,044 Medicare rate · typically $11,424–$14,875
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,356
Below the fair price — a good deal
about $1,519 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $14,875 This hospital $13,356

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

On the higher side — 6 of 8 other AL hospitals charge less.

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 $14,875 (about 1.1× the $14,044 Medicare rate). Medical Center Enterprise charges insurers about $13,356 — below the fair price — a good deal. Located in Enterprise, 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 $12,968 - $23,563 92%
Blue Cross Blue Shieldmajor $12,580 - $13,650 90%
Aetnamajor $13,356 95%
Cignamajor $14,739 105%
Humanamajor $12,968 92%
Ambetter (Centene) $17,719 126%
Cigna HealthSpring $13,227 94%
Clover Health $13,329 95%
Devoted Health $13,227 94%
SelectHealth $13,097 93%
WellCare $13,461 96%
+ 5 smaller / regional plans $2,600 - $23,095
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals