CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Temecula Valley Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,233
about 1.5× the $14,044 Medicare rate · typically $17,971–$28,289
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,153
Above the fair price
about $3,920 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $21,233 This hospital $25,153

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 $25,153

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 $21,233 (about 1.5× the $14,044 Medicare rate). Temecula Valley Hospital charges insurers about $25,153 — above the fair price. Located in Temecula, 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 $21,233. 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✓ Aetna✓ Cigna✓ Kaiser Permanente Blue Cross Blue ShieldHumana

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 $22,270 - $25,527 159%
Aetnamajor $25,157 179%
Cignamajor $25,153 179%
Kaiser Permanentemajor $16,886 - $25,157 120%
Health Net $33,049 235%
Molina $25,157 179%
+ 6 smaller / regional plans $7,696 - $25,527

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: 31700 Temecula Pkwy, Temecula, CA 92592
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals