Hip or knee replacement (inpatient stay)
Facility: North Shore Medical Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 FL hospitals we have prices for — worth calling around.
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 $20,055 (about 1.4× the $14,044 Medicare rate). North Shore Medical Center charges insurers about $23,333 — above the fair price. Located in Miami, FL.
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 $20,055. 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.
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 | $16,177 - $40,246 | 115% |
| Aetnamajor | $2,169 - $16,177 | 15% |
| Cignamajor | $16,986 - $23,569 | 121% |
| Humanamajor | $4,098 - $15,853 | 29% |
| Ambetter (Centene) | $30,474 | 217% |
| AmeriHealth | $35,416 | 252% |
| AvMed | $23,742 - $33,647 | 169% |
| Bright Health | $19,767 | 141% |
| Devoted Health | $16,177 | 115% |
| Molina | $20,346 | 145% |
| Oscar Health | $18,207 | 130% |
| + 14 smaller / regional plans | $2,283 - $44,633 |
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 North Shore Medical Center
Compare: Hip or knee replacement (inpatient stay) at other FL hospitals
- Palm Beach Gardens Medical Center · Palm Beach Gardens $9,376
- Sacred Heart Hospital on the Emerald Coast · Miramar Beach $11,614
- Ascension Sacred Heart Gulf · Port Saint Joe $11,774
- Sacred Heart Hospital · Pensacola $12,400
- Jay Hospital · Jay $14,553
- Gulf Breeze Hospital · Gulf Breeze $14,745
- Villages Regional Hospital, The · The Villages $15,040
- HCA Florida Pasadena Hospital A Part of HCA Florid · Saint Petersburg $15,054
Insurance negotiated median for the same procedure, sorted lowest first.