CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Vincent's Chilton

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,611

about 1.2× the $14,044 Medicare rate · typically $14,610–$20,037

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,124

Above the fair price

about $3,513 over the fair price · 1.4× Medicare

Medicare pays $14,044 Fair price $16,611 This hospital $20,124

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 $20,124

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 $16,611 (about 1.2× the $14,044 Medicare rate). St Vincent's Chilton charges insurers about $20,124 — above the fair price. Located in Clanton, AL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,611. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$19,538 - $22,377	139%
Blue Cross Blue Shieldmajor	$18,757 - $21,182	134%
Aetnamajor	$14,949 - $20,124	106%
Cignamajor	$18,134 - $20,124	129%
Humanamajor	$19,734 - $27,599	141%
Ambetter (Centene)	$19,538 - $26,865	139%
+ 1 smaller / regional plan	$25,400

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm St Vincent's Chilton is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Vincent's Chilton

Compare: Hip or knee replacement (inpatient stay) at other AL hospitals

North Alabama Medical Center · Florence $12,077
Riverview Regional Medical Center · Gadsden $12,932
Northeast Alabama Regional Medical Center · Anniston $12,989
Crestwood Medical Center · Huntsville $13,019
Grandview Medical Center · Birmingham $13,025
Hill Hospital of Sumter County · York $13,287
Medical Center Enterprise · Enterprise $13,356
Highlands Medical Center · Scottsboro $13,786

Insurance negotiated median for the same procedure, sorted lowest first.