CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Phoenix Children's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$20,693
about 1.5× the $14,044 Medicare rate · typically $12,563–$52,857
modeled estimate · not a bill or quote
What this hospital charges insurers
$45,312
Well above the fair price
about $24,619 over the fair price · 3.2× Medicare
Medicare pays $14,044 Fair price $20,693 This hospital $45,312

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 $45,312

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 $20,693 (about 1.5× the $14,044 Medicare rate). Phoenix Children's Hospital charges insurers about $45,312 — well above the fair price. Located in Phoenix, AZ.

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 $20,693. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $34,531 - $35,909 246%
Blue Cross Blue Shieldmajor $80,054 570%
Aetnamajor $49,730 354%
Cignamajor $45,312 - $54,985 323%
+ 2 smaller / regional plans $26,067

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: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens