CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Saint Mary's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,501
about 1.7× the $14,044 Medicare rate · typically $15,066–$40,414
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,463
Above the fair price
about $14,962 over the fair price · 2.7× Medicare
Medicare pays $14,044 Fair price $23,501 This hospital $38,463 Cash price $42,883

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 $38,463

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 $23,501 (about 1.7× the $14,044 Medicare rate). Saint Mary's Hospital charges insurers about $38,463, or about $42,883 in cash — above the fair price. Located in Waterbury, 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 $23,501. 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 $18,194 - $45,451 130%
Blue Cross Blue Shieldmajor $18,194 - $38,463 130%
Aetnamajor $18,194 - $37,421 130%
Cignamajor $18,740 - $46,290 133%
Kaiser Permanentemajor $38,463 274%
GEHA $45,451 324%
Harvard Pilgrim $45,451 324%
HealthPartners $46,290 330%
MagnaCare $46,290 330%
UniCare $38,463 274%
+ 18 smaller / regional plans $18,558 - $46,290
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals