Hip or knee replacement (inpatient stay)
Facility: Adventist Health Simi Valley
Billing Code: 470 (MS-DRG)
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.
A fair price for a Hip or knee replacement (inpatient stay) is about $25,422 (about 1.8× the $14,044 Medicare rate). Adventist Health Simi Valley charges insurers about $30,340, or about $23,634 in cash — above the fair price. Located in Simi Valley, CA.
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 $25,422. 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.
5 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 | $11,829 - $31,714 | 84% |
| Blue Cross Blue Shieldmajor | $18,403 - $34,043 | 131% |
| Aetnamajor | $36,347 | 259% |
| Cignamajor | $52,564 - $54,112 | 374% |
| Kaiser Permanentemajor | $73,857 | 526% |
| Health Net | $7,858 | 56% |
| + 13 smaller / regional plans | $18,403 - $66,026 |
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 Adventist Health Simi Valley
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.