CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Banner Estrella Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,634

about 1.3× the $14,044 Medicare rate · typically $16,014–$22,810

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,962

About the fair price

about $328 over the fair price · 1.3× Medicare

Medicare pays $14,044 Fair price $17,634 This hospital $17,962 Cash price $24,508

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $13,152 Priciest $17,962

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,634 (about 1.3× the $14,044 Medicare rate). Banner Estrella Medical Center charges insurers about $17,962, or about $24,508 in cash — about the fair price. Located in Phoenix, AZ.

What each insurance company pays

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

6 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	$16,329 - $50,000	116%
Blue Cross Blue Shieldmajor	$16,329 - $67,328	116%
Aetnamajor	$16,329 - $47,780	116%
Cignamajor	$16,329 - $57,065	116%
Humanamajor	$16,329 - $16,819	116%
Kaiser Permanentemajor	$16,329	116%
Banner Health	$16,329	116%
Devoted Health	$17,145	122%
Health Net	$16,329 - $24,167	116%
Oscar Health	$26,943	192%
UPMC Health Plan	$16,329	116%
+ 8 smaller / regional plans	$16,329 - $24,493

Government programs also on file: Military & VA.

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 (about 24,508), 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 Banner Estrella Medical Center 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 Banner Estrella Medical Center

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

Northern Cochise Community Hospital, Inc. · Willcox $13,152
Yavapai Regional Medical Center · Prescott $14,155
Havasu Regional Medical Center · Lake Havasu City $14,683
Banner Heart Hospital · Mesa $15,052
Honorhealth Scottsdale Shea Medical Center · Scottsdale $15,344
Banner Boswell Medical Center · Sun City $15,573
Honorhealth Deer Valley Medical Center · Phoenix $15,699
Honorhealth Sonoran Crossing Medical Center · Phoenix $15,838

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