Hip or knee replacement (inpatient stay)
Facility: Washington Hospital
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $21,496 compared to the $21,697 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.99× fair market pricing.
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hip or knee replacement (inpatient stay) is about $21,697 (about 1.5× the $14,044 Medicare rate). Washington Hospital charges insurers about $21,496, or about $99,146 in cash — about the fair price. Located in Fremont, 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
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 | $21,496 - $107,613 | 153% |
| Blue Cross Blue Shieldmajor | $20,959 - $83,282 | 149% |
| Aetnamajor | $21,496 - $81,919 | 153% |
| Cignamajor | $53,417 - $122,025 | 380% |
| Humanamajor | $21,496 - $137,278 | 153% |
| Kaiser Permanentemajor | $21,496 - $82,367 | 153% |
| Health Net | $20,851 - $27,456 | 148% |
| + 11 smaller / regional plans | $21,496 - $130,734 |
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.
Other Procedures at Washington 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.
Audit a Bill or Quote at Washington Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $55,369
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $55,369).
Self-Pay Cash Rate ($99,146) Beats Your Bill
Washington Hospital's published 45 CFR § 180 self-pay cash rate is $99,146 (vs. $21,496 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $21,697 Fair BaseRate ($14,044 Medicare)
Your bill ($152,532) is $130,835 above the denoised Fair BaseRate ($21,697) and 10.9× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.