CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,908
about 1.7× the $14,044 Medicare rate · typically $19,470–$26,703
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,571
About the fair price
about $1,663 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $23,908 This hospital $25,571

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 $25,571

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 $23,908 (about 1.7× the $14,044 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $25,571 — about the fair price. Located in San Francisco, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

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 $26,082 - $48,941 186%
Blue Cross Blue Shieldmajor $25,571 182%
Aetnamajor $25,571 182%
Humanamajor $25,571 182%
Kaiser Permanentemajor $25,571 182%
Health Net $25,571 182%
Oscar Health $77,479 552%
+ 4 smaller / regional plans $25,571 - $74,155

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals