CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Marinhealth Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$36,917
about 2.6× the $14,044 Medicare rate · typically $19,773–$60,245
modeled estimate · not a bill or quote
What this hospital charges insurers
$53,965
Above the fair price
about $17,048 over the fair price · 3.8× Medicare
Medicare pays $14,044 Fair price $36,917 This hospital $53,965

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 $53,965

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 $36,917 (about 2.6× the $14,044 Medicare rate). Marinhealth Medical Center charges insurers about $53,965 — above the fair price. Located in Greenbrae, 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 $36,917. 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✓ Kaiser Permanente CignaHumana

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 $53,965 384%
Blue Cross Blue Shieldmajor $56,107 - $57,362 400%
Aetnamajor $3,070 - $21,277 22%
Kaiser Permanentemajor $21,277 152%
Health Net $21,277 - $48,936 152%
+ 5 smaller / regional plans $21,277 - $61,702
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals