Hip or knee replacement (inpatient stay)
Facility: Major Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 IN hospitals we have prices for — worth calling around.
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 $21,011 (about 1.5× the $14,044 Medicare rate). Major Hospital charges insurers about $28,545, or about $30,327 in cash — above the fair price. Located in Shelbyville, 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 $21,011. 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.
5 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 | $27,626 - $63,686 | 197% |
| Blue Cross Blue Shieldmajor | $28,047 - $49,628 | 200% |
| Aetnamajor | $82,175 | 585% |
| Cignamajor | $96,849 | 690% |
| Humanamajor | $88,192 | 628% |
| Ambetter (Centene) | $30,047 | 214% |
| CareSource | $28,545 | 203% |
| + 2 smaller / regional plans | $55,566 - $85,110 |
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 Major Hospital
Compare: Hip or knee replacement (inpatient stay) at other IN hospitals
- Putnam County Hospital · Greencastle $10,414
- Norton Scott Hospital · Scottsburg $12,000
- Pinnacle Hospital · Crown Point $12,487
- Schneck Medical Center · Seymour $12,648
- Ascension St Vincent Warrick · Boonville $13,590
- Ascension St Vincent Salem · Salem $13,700
- Goshen Hospital · Goshen $13,740
- Ascension St Vincent Evansville · Evansville $13,833
Insurance negotiated median for the same procedure, sorted lowest first.