CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Grossmont Hospital
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$19,574
about 1.4× the $14,044 Medicare rate · typically $15,919–$29,505
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $19,574 Cash price $108,334 Hospital's list price $144,446
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $69,204 | 493% |
| Aetnamajor | $92,156 | 656% |
| Humanamajor | $98,223 | 699% |
| Health Net | $43,334 - $118,445 | 309% |
| Molina | $91,001 | 648% |
| + 4 smaller / regional plans | $69,204 - $141,557 |
Self-Pay How to get the cash price
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Other Procedures at Grossmont Hospital
Compare: Hip or knee replacement (inpatient stay) at other CA hospitals
- Patients' Hospital of Redding · Redding $9,517
- College Medical Center · Long Beach $12,743
- Santa Clara Valley Medical Center · San Jose $15,669
- Salinas Valley Memorial Hospital · Salinas $17,291
- Shriners Hospitals for Children Northern Calif · Sacramento $17,574
- French Hospital Medical Center · San Luis Obispo $17,727
- Fresno Surgical Hospital · Fresno $17,982
- Good Samaritan Hospital, LP · Bakersfield $18,197
Insurance negotiated median for the same procedure, sorted lowest first.