CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Methodist Hospitals Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,038
about 1.6× the $14,044 Medicare rate · typically $15,053–$29,187
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,235
Above the fair price
about $4,197 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $22,038 This hospital $26,235 Cash price $82,677 Hospital's list price $118,110

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $10,414 Priciest $26,235

Black dot = this hospital, among the 9 IN 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 $22,038 (about 1.6× the $14,044 Medicare rate). Methodist Hospitals Inc charges insurers about $26,235, or about $82,677 in cash — above the fair price. Located in Gary, IN.

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 $22,038. 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

✓ 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 $15,900 - $28,513 113%
Blue Cross Blue Shieldmajor $15,900 - $29,755 113%
Aetnamajor $15,900 - $68,967 113%
Humanamajor $15,900 113%
Ambetter (Centene) $31,800 226%
CareSource $26,235 187%
MagnaCare $71,755 511%
+ 2 smaller / regional plans $16,218 - $77,615
Government programs also on file: Medicare.

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: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals