CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Lukes Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,382
about 1.2× the $14,044 Medicare rate · typically $14,032–$19,408
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,029
Below the fair price — a good deal
about $2,353 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $16,382 This hospital $14,029

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $12,978 Priciest $15,182

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

A fair price for a Hip or knee replacement (inpatient stay) is about $16,382 (about 1.2× the $14,044 Medicare rate). St Lukes Hospital charges insurers about $14,029 — below the fair price — a good deal. Located in Cedar Rapids, IA.

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✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $14,029 - $22,354 100%
Blue Cross Blue Shieldmajor $13,602 97%
Aetnamajor $13,602 - $21,998 97%
Humanamajor $14,002 100%
Amerigroup $13,581 97%
HealthPartners $16,970 121%
Medica $23,631 - $26,332 168%
Molina $13,602 97%
+ 2 smaller / regional plans $13,581 - $14,002

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Facility Profile & Credentials

  • Address: 1026 A Ave Ne, Cedar Rapids, IA 52402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals