CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence St. Joseph Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,834
about 1.6× the $14,044 Medicare rate · typically $19,043–$28,721
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,894
About the fair price
about $1,940 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $21,834 This hospital $19,894

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 $19,894

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 $21,834 (about 1.6× the $14,044 Medicare rate). Providence St. Joseph Hospital charges insurers about $19,894 — about the fair price. Located in Orange, 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 $19,894 - $50,115 142%
Blue Cross Blue Shieldmajor $19,894 - $41,802 142%
Aetnamajor $19,894 142%
Cignamajor $19,894 - $34,311 142%
Humanamajor $19,894 142%
Kaiser Permanentemajor $19,894 142%
Health Net $19,894 - $48,770 142%
Molina $19,894 142%
Providence Health Plan $19,894 142%
+ 11 smaller / regional plans $19,894 - $29,791

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Facility Profile & Credentials

  • Address: 1100 West Stewart Dr, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals