CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Prattville Baptist Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,673
about 1.1× the $14,044 Medicare rate · typically $14,603–$16,739
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,101
Below the fair price — a good deal
about $1,572 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $15,673 This hospital $14,101

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 $14,101

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 $15,673 (about 1.1× the $14,044 Medicare rate). Prattville Baptist Hospital charges insurers about $14,101 — below the fair price — a good deal. Located in Prattville, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $14,230 101%
Blue Cross Blue Shieldmajor $12,807 91%
Cignamajor $44,893 320%
Humanamajor $13,583 97%
Ambetter (Centene) $18,111 129%
+ 1 smaller / regional plan $13,972

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Facility Profile & Credentials

  • Address: 124 S Memorial Dr, Prattville, AL 36067
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals