CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Wilcox Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,489
about 1.5× the $14,044 Medicare rate · typically $12,818–$29,686
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,189
Above the fair price
about $3,700 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $20,489 This hospital $24,189

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

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

Cheapest $17,574 Priciest $24,189

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

A fair price for a Hip or knee replacement (inpatient stay) is about $20,489 (about 1.5× the $14,044 Medicare rate). Wilcox Memorial Hospital charges insurers about $24,189 — above the fair price. Located in Lihue, HI.

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 $20,489. 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $1,641 12%
Kaiser Permanentemajor $45,822 326%
Devoted Health $25,147 179%
+ 8 smaller / regional plans $8,162 - $24,429

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: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals