CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Bluffton Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,627
about 1.4× the $14,044 Medicare rate · typically $16,280–$24,690
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,958
About the fair price
about $669 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $19,627 This hospital $18,958

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 $18,958

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

A fair price for a Hip or knee replacement (inpatient stay) is about $19,627 (about 1.4× the $14,044 Medicare rate). Bluffton Regional Medical Center charges insurers about $18,958 — about the fair price. Located in Bluffton, IN.

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 $13,938 - $15,767 99%
Blue Cross Blue Shieldmajor $15,487 - $27,601 110%
Aetnamajor $15,487 110%
Humanamajor $15,767 112%
CareSource $15,796 112%
Devoted Health $15,796 112%
+ 16 smaller / regional plans $11,139 - $37,842
Government programs also on file: Medicare.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals