CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Adventist Health Sierra Vista

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,765
about 1.4× the $14,044 Medicare rate · typically $18,713–$31,168
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,115
About the fair price
about $650 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,765 This hospital $19,115 Cash price $11,775 Hospital's list price $130,832

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 $19,115

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 $19,765 (about 1.4× the $14,044 Medicare rate). Adventist Health Sierra Vista charges insurers about $19,115, or about $11,775 in cash — about the fair price. Located in San Luis Obispo, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $19,115 - $118,228 136%
Blue Cross Blue Shieldmajor $16,056 - $21,505 114%
Aetnamajor $19,115 - $26,311 136%
+ 8 smaller / regional plans $9,381 - $37,728
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1010 Murray St, San Luis Obispo, CA 93405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals