CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mercyone Centerville Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,446
about 1.4× the $14,044 Medicare rate · typically $11,415–$32,012
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,695
Above the fair price
about $4,249 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $19,446 This hospital $23,695 Cash price $91,385

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $12,978 Priciest $23,695

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,446 (about 1.4× the $14,044 Medicare rate). Mercyone Centerville Medical Center charges insurers about $23,695, or about $91,385 in cash — above the fair price. Located in Centerville, IA.

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 $19,446. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $3,510 25%
Blue Cross Blue Shieldmajor $3,277 23%
Aetnamajor $3,311 24%
Ambetter (Centene) $5,562 40%
+ 4 smaller / regional plans $4,404 - $23,695
Government programs also on file: Medicare, Medicaid.

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.

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Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals