CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hialeah Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,201
about 1.4× the $14,044 Medicare rate · typically $16,307–$22,819
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,462
About the fair price
about $2,261 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $20,201 This hospital $22,462

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 $22,462

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 $20,201 (about 1.4× the $14,044 Medicare rate). Hialeah Hospital charges insurers about $22,462 — about the fair price. Located in Hialeah, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $17,257 - $34,855 123%
Aetnamajor $2,169 - $17,257 15%
Cignamajor $17,912 - $23,569 128%
Humanamajor $3,599 - $16,912 26%
Ambetter (Centene) $32,514 232%
AmeriHealth $37,786 269%
AvMed $23,165 - $35,894 165%
Bright Health $21,090 150%
Devoted Health $17,257 123%
Molina $20,346 145%
Oscar Health $17,891 127%
+ 14 smaller / regional plans $2,283 - $35,150
Government programs also on file: Medicare, Military & VA.
Excludes 4 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: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals