CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Francis Hospital & Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,255
about 1.7× the $14,044 Medicare rate · typically $15,023–$40,270
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,793
Above the fair price
about $16,538 over the fair price · 2.8× Medicare
Medicare pays $14,044 Fair price $23,255 This hospital $39,793 Cash price $43,704

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $9,169 Priciest $39,793

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $23,255 (about 1.7× the $14,044 Medicare rate). St Francis Hospital & Medical Center charges insurers about $39,793, or about $43,704 in cash — above the fair price. Located in Hartford, CT.

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 $23,255. 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.

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

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

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 $18,273 - $46,934 130%
Blue Cross Blue Shieldmajor $17,914 - $39,793 128%
Aetnamajor $17,914 - $34,643 128%
Cignamajor $18,452 - $44,571 131%
Kaiser Permanentemajor $39,793 283%
GEHA $46,934 334%
Harvard Pilgrim $46,934 334%
HealthPartners $44,571 317%
MagnaCare $44,571 317%
UniCare $39,793 283%
+ 17 smaller / regional plans $18,273 - $44,571
Government programs also on file: Medicare.
Excludes 2 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: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals