CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Gaylord Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,702
about 1.8× the $14,044 Medicare rate · typically $12,482–$37,365
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,802
Above the fair price
about $7,100 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $24,702 This hospital $31,802

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 $31,802

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 $24,702 (about 1.8× the $14,044 Medicare rate). Gaylord Hospital charges insurers about $31,802 — above the fair price. Located in Wallingford, 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 $24,702. 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.

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 $31,802 226%
Blue Cross Blue Shieldmajor $31,802 226%
Aetnamajor $31,802 226%
+ 1 smaller / regional plan $31,802

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: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL