CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Grandview Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,561
about 1.1× the $14,044 Medicare rate · typically $14,024–$16,725
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,025
Below the fair price — a good deal
about $2,536 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $15,561 This hospital $13,025

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 AL hospitals compared.

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 $15,561 (about 1.1× the $14,044 Medicare rate). Grandview Medical Center charges insurers about $13,025 — below the fair price — a good deal. Located in Birmingham, 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 $3,135 - $22,443 22%
Blue Cross Blue Shieldmajor $20,686 147%
Aetnamajor $13,217 94%
Cignamajor $13,089 - $20,035 93%
Humanamajor $12,808 91%
Ambetter (Centene) $18,571 132%
Cigna HealthSpring $9,934 71%
Clover Health $13,744 98%
Devoted Health $13,637 97%
SelectHealth $12,961 92%
WellCare $13,295 95%
+ 10 smaller / regional plans $1,500 - $19,820
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals