CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Baldwin Health

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,345
about 1.0× the $14,044 Medicare rate · typically $9,106–$15,737
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,215
About the fair price
about $130 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $14,345 This hospital $14,215

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $12,077 Priciest $14,215

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 $14,345 (about 1.0× the $14,044 Medicare rate). Baldwin Health charges insurers about $14,215 — about the fair price. Located in Foley, 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 $13,937 - $49,283 99%
Blue Cross Blue Shieldmajor $13,429 - $18,459 96%
Aetnamajor $14,354 102%
Cignamajor $14,215 - $20,570 101%
Humanamajor $13,833 98%
Ambetter (Centene) $19,471 139%
Clover Health $15,950 114%
Devoted Health $15,820 113%
SelectHealth $14,076 100%
WellCare $14,362 102%
+ 5 smaller / regional plans $1,444 - $22,732
Government programs also on file: Medicare, Military & VA.
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: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals