CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Saint John's Health Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,928
about 1.6× the $14,044 Medicare rate · typically $18,496–$27,559
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,593
Below the fair price — a good deal
about $3,335 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $21,928 This hospital $18,593

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 $18,593

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 $21,928 (about 1.6× the $14,044 Medicare rate). Saint John's Health Center charges insurers about $18,593 — below the fair price — a good deal. Located in Santa Monica, 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 $18,593 - $37,229 132%
Blue Cross Blue Shieldmajor $18,593 - $37,335 132%
Aetnamajor $18,593 - $43,744 132%
Cignamajor $18,593 - $45,624 132%
Humanamajor $18,593 132%
Kaiser Permanentemajor $18,593 132%
Health Net $18,593 - $45,827 132%
Molina $18,593 132%
Providence Health Plan $18,593 132%
WellCare $18,593 132%
+ 8 smaller / regional plans $18,593 - $24,171

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Facility Profile & Credentials

  • Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals