CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence Queen of the Valley Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,061
about 1.5× the $14,044 Medicare rate · typically $13,371–$26,167
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,616
About the fair price
about $555 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $21,061 This hospital $21,616

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $9,517 Priciest $21,616

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

A fair price for a Hip or knee replacement (inpatient stay) is about $21,061 (about 1.5× the $14,044 Medicare rate). Providence Queen of the Valley Medical Center charges insurers about $21,616 — about the fair price. Located in Napa, CA.

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 $21,616 - $60,255 154%
Blue Cross Blue Shieldmajor $21,616 - $44,199 154%
Aetnamajor $21,616 - $85,449 154%
Cignamajor $18,779 - $21,616 134%
Humanamajor $21,616 154%
Kaiser Permanentemajor $21,616 154%
Devoted Health $21,616 154%
Health Net $21,616 - $38,146 154%
Molina $21,616 154%
Providence Health Plan $21,616 154%
+ 1 smaller / regional plan $21,616

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: 1000 Trancas St, Napa, CA 94558
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals