CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hill Hospital of Sumter County

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,900
about 1.1× the $14,044 Medicare rate · typically $13,429–$20,862
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,287
Below the fair price — a good deal
about $2,613 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $15,900 This hospital $13,287

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 3 charge more and 5 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 $15,900 (about 1.1× the $14,044 Medicare rate). Hill Hospital of Sumter County charges insurers about $13,287 — below the fair price — a good deal. Located in York, 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 $13,287 95%
Blue Cross Blue Shieldmajor $1,736 12%
Aetnamajor $13,287 95%
Cignamajor $13,287 95%
Humanamajor $13,287 95%
+ 2 smaller / regional plans $13,287

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Facility Profile & Credentials

  • Address: 751 Derby Drive, York, AL 36925
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals