Hip or knee replacement (inpatient stay)
Facility: St Anthony Regional Hospital & Nursing Home
Billing Code: 470 (MS-DRG)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
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 $19,985 (about 1.4× the $14,044 Medicare rate). St Anthony Regional Hospital & Nursing Home charges insurers about $27,043, or about $71,063 in cash — above the fair price. Located in Carroll, 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 $19,985. 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.
4 of 6 major insurers have a published price at this hospital
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 | $11,304 - $57,277 | 80% |
| Blue Cross Blue Shieldmajor | $11,304 - $27,043 | 80% |
| Aetnamajor | $11,304 - $63,957 | 80% |
| Humanamajor | $11,304 - $60,404 | 80% |
| Medica | $11,304 | 80% |
| Molina | $27,584 | 196% |
| + 3 smaller / regional plans | $11,643 - $27,043 |
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.
Other Procedures at St Anthony Regional Hospital & Nursing Home
Compare: Hip or knee replacement (inpatient stay) at other IA hospitals
- Henry County Health Center · Mount Pleasant $12,978
- Grinnell Regional Medical Center · Grinnell $13,111
- Mary Greeley Medical Center · Ames $13,242
- St Lukes Hospital · Cedar Rapids $14,029
- University of Iowa Health Care Medical Center Down · Iowa City $14,100
- Allen Hospital · Waterloo $14,206
- Finley Hospital · Dubuque $14,734
- Spencer Municipal Hospital · Spencer $14,970
Insurance negotiated median for the same procedure, sorted lowest first.