CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Alhambra Hospital Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,235
about 1.6× the $14,044 Medicare rate · typically $18,638–$31,797
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,368
About the fair price
about $867 under the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $22,235 This hospital $21,368

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 $21,368

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 $22,235 (about 1.6× the $14,044 Medicare rate). Alhambra Hospital Medical Center charges insurers about $21,368 — about the fair price. Located in Alhambra, CA.

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

✓ 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 $21,368 152%
Blue Cross Blue Shieldmajor $3,204 - $20,975 23%
Aetnamajor $5,766 - $21,368 41%
Cignamajor $4,200 - $6,496 30%
Humanamajor $20,940 149%
Health Net $20,975 - $24,124 149%
HealthPartners $1,751 12%
Molina $26,219 187%
WellCare $21,368 152%
+ 10 smaller / regional plans $2,350 - $22,024
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals