CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Highland Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,371
about 1.5× the $14,044 Medicare rate · typically $19,001–$26,631
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,284
Above the fair price
about $6,913 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $21,371 This hospital $28,284 Cash price $47,329 Hospital's list price $83,797

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 $28,284

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 $21,371 (about 1.5× the $14,044 Medicare rate). Highland Hospital charges insurers about $28,284, or about $47,329 in cash — above the fair price. Located in Oakland, 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 $21,371. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $44,370 - $49,494 316%
Blue Cross Blue Shieldmajor $7,043 - $28,284 50%
Aetnamajor $28,284 - $83,073 201%
Cignamajor $7,426 53%
+ 7 smaller / regional plans $3,777 - $28,284
Government programs also on file: Medicare, Medicaid.

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.

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Facility Profile & Credentials

  • Address: 1411 East 31St Street, Oakland, CA 94602
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals