CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Shriners Hospital for Children

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$25,015

about 1.8× the $14,044 Medicare rate · typically $11,045–$36,377

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,574

Below the fair price — a good deal

about $7,441 under the fair price · 1.3× Medicare

Medicare pays $14,044 Fair price $25,015 This hospital $17,574

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

Cheapest $17,574 Priciest $19,978

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 $25,015 (about 1.8× the $14,044 Medicare rate). Shriners Hospital for Children charges insurers about $17,574 — below the fair price — a good deal. Located in Honolulu, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$20,205	144%
Providence Health Plan	$14,943	106%
+ 1 smaller / regional plan	$4,000

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Shriners Hospital for Children is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Shriners Hospital for Children

Compare: Hip or knee replacement (inpatient stay) at other HI hospitals

Kau Hospital · Pahala $19,101
Samuel Mahelona Memorial Hospital · Kapaa $19,101
Leahi Hospital · Honolulu $19,446
Straub Clinic and Hospital · Honolulu $19,557
Kohala Hospital · Kapaau $19,629
Kuakini Medical Center · Honolulu $19,751
Pali Momi Medical Center · Aiea $19,922
The Queens Medical Center · Honolulu $19,978

Insurance negotiated median for the same procedure, sorted lowest first.