CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Allen Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,026
about 1.1× the $14,044 Medicare rate · typically $14,195–$18,867
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,206
About the fair price
about $820 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $15,026 This hospital $14,206

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 3 charge more and 5 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 $15,026 (about 1.1× the $14,044 Medicare rate). Allen Hospital charges insurers about $14,206 — about the fair price. Located in Waterloo, 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 $14,206 - $24,336 101%
Blue Cross Blue Shieldmajor $13,774 98%
Aetnamajor $13,774 - $19,132 98%
Humanamajor $14,179 101%
Amerigroup $13,443 96%
HealthPartners $21,042 150%
Medica $23,631 - $26,332 168%
Molina $13,774 98%
+ 2 smaller / regional plans $13,443 - $14,179

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Facility Profile & Credentials

  • Address: 1825 Logan Avenue, Waterloo, IA 50703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals