CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Highlands Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,706
about 1.0× the $14,044 Medicare rate · typically $13,662–$15,961
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,786
About the fair price
about $920 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $14,706 This hospital $13,786

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

On the higher side — 7 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 $14,706 (about 1.0× the $14,044 Medicare rate). Highlands Medical Center charges insurers about $13,786 — about the fair price. Located in Scottsboro, 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 $13,786 - $13,819 98%
Blue Cross Blue Shieldmajor $2,258 - $23,250 16%
Aetnamajor $14,061 100%
Cignamajor $1,939 - $13,786 14%
Humanamajor $13,786 98%
Devoted Health $14,199 101%
+ 2 smaller / regional plans $13,786

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Facility Profile & Credentials

  • Address: 380 Woods Cove Road, Scottsboro, AL 35768
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals