CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Holmes Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$36,718
about 2.6× the $14,044 Medicare rate · typically $24,421–$40,619
modeled estimate · not a bill or quote
What this hospital charges insurers
$40,103
About the fair price
about $3,385 over the fair price · 2.9× Medicare
Medicare pays $14,044 Fair price $36,718 This hospital $40,103

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $9,376 Priciest $40,103

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

A fair price for a Hip or knee replacement (inpatient stay) is about $36,718 (about 2.6× the $14,044 Medicare rate). Holmes Regional Medical Center charges insurers about $40,103 — about the fair price. Located in Melbourne, FL.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $32,311 - $54,918 230%
Blue Cross Blue Shieldmajor $45,285 - $49,594 322%
Aetnamajor $52,385 373%
Cignamajor $47,999 342%
+ 2 smaller / regional plans $15,629 - $34,922
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1350 S Hickory St, Melbourne, FL 32901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals