CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,259
about 1.4× the $14,044 Medicare rate · typically $14,435–$28,193
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,574
About the fair price
about $1,685 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $19,259 This hospital $17,574

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 CA hospitals compared.

Cheapest $9,517 Priciest $18,312

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 $19,259 (about 1.4× the $14,044 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $17,574 — about the fair price. Located in Sacramento, 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 $20,205 144%
Blue Cross Blue Shieldmajor $3,501 - $11,238 25%
Aetnamajor $8,176 58%
Ambetter (Centene) $1,538 - $20,740 11%
AmeriHealth $5,926 - $20,740 42%
CareSource $20,740 148%
Health Net $20,740 148%
Providence Health Plan $14,718 - $14,943 105%
+ 3 smaller / regional plans $1,538 - $24,704
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens