Hip or knee replacement (inpatient stay)
Facility: Windham Community Memorial Hospital
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $20,120 compared to the $20,232 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.99× fair market pricing.
A typical price — 5 charge more and 3 charge less, among the 9 CT hospitals compared.
Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Hip or knee replacement (inpatient stay) is about $20,232 (about 1.4× the $14,044 Medicare rate). Windham Community Memorial Hospital charges insurers about $20,120, or about $62,792 in cash — about the fair price. Located in Willimantic, CT.
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
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 | $12,791 - $36,531 | 91% |
| Blue Cross Blue Shieldmajor | $12,791 - $31,916 | 91% |
| Aetnamajor | $13,111 - $40,194 | 93% |
| Cignamajor | $20,120 | 143% |
| Molina | $12,791 - $22,599 | 91% |
| Tufts Health Plan | $12,791 | 91% |
| WellCare | $13,047 | 93% |
| + 1 smaller / regional plan | $12,791 |
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.
Other Procedures at Windham Community Memorial Hospital
Compare: Hip or knee replacement (inpatient stay) at other CT hospitals
- William W Backus Hospital · Norwich $9,169
- Charlotte Hungerford Hospital · Torrington $13,013
- Midstate Medical Center · Meriden $19,321
- The Hospital of Central Connecticut · New Britain $21,405
- St Vincent's Medical Center · Bridgeport $21,665
- Hartford Hospital · Hartford $24,813
- John Dempsey Hospital of the University of Connect · Farmington $30,156
- Bristol Hospital · Bristol $30,722
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Windham Community Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $22,793
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $22,793).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Windham Community Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $62,792 (vs. $20,120 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $20,232 Fair BaseRate ($14,044 Medicare)
Your bill ($62,792) is $42,560 above the denoised Fair BaseRate ($20,232) and 4.5× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.