CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence St Mary Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,302
about 1.5× the $14,044 Medicare rate · typically $18,540–$25,139
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,984
About the fair price
about $1,318 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $21,302 This hospital $19,984

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 $19,984

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 $21,302 (about 1.5× the $14,044 Medicare rate). Providence St Mary Medical Center charges insurers about $19,984 — about the fair price. Located in Apple Valley, 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 $19,984 - $31,158 142%
Blue Cross Blue Shieldmajor $19,984 - $42,980 142%
Aetnamajor $19,984 142%
Cignamajor $19,984 - $28,355 142%
Humanamajor $19,984 142%
Kaiser Permanentemajor $19,984 142%
Health Net $19,984 - $35,421 142%
Molina $19,984 142%
Providence Health Plan $19,984 142%
WellCare $19,984 142%
+ 10 smaller / regional plans $19,984

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Facility Profile & Credentials

  • Address: 18300 Highway 18, Apple Valley, CA 92307
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals