CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Stanford Health Care Tri-Valley

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,550
about 2.1× the $14,044 Medicare rate · typically $19,088–$47,729
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,002
Below the fair price — a good deal
about $7,548 under the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $29,550 This hospital $22,002

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 $22,002

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 $29,550 (about 2.1× the $14,044 Medicare rate). Stanford Health Care Tri-Valley charges insurers about $22,002 — below the fair price — a good deal. Located in Pleasanton, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $22,002 157%
Blue Cross Blue Shieldmajor $57,240 408%
Health Net $22,002 157%

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Facility Profile & Credentials

  • Address: 5555 West Las Positas Boulevard, Pleasanton, CA 94588
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals