CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Palmetto General Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,080
about 1.4× the $14,044 Medicare rate · typically $16,223–$22,736
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,703
About the fair price
about $1,623 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $20,080 This hospital $21,703

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 $21,703

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 $20,080 (about 1.4× the $14,044 Medicare rate). Palmetto General Hospital charges insurers about $21,703 — 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 $17,662 - $41,066 126%
Aetnamajor $2,169 - $17,662 15%
Cignamajor $17,912 - $23,569 128%
Humanamajor $5,349 - $17,334 38%
Ambetter (Centene) $32,185 229%
AmeriHealth $37,196 265%
AvMed $25,342 - $35,374 180%
Bright Health $21,328 152%
Devoted Health $17,662 126%
Molina $20,346 145%
Oscar Health $19,489 139%
+ 17 smaller / regional plans $2,283 - $39,347
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.

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Facility Profile & Credentials

  • Address: 2001 W 68Th St, Hialeah, FL 33016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals