CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Kosciusko Community Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,233
about 1.4× the $14,044 Medicare rate · typically $15,511–$24,577
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,970
About the fair price
about $2,737 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $20,233 This hospital $22,970

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 $22,970

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 $20,233 (about 1.4× the $14,044 Medicare rate). Kosciusko Community Hospital charges insurers about $22,970 — about the fair price. Located in Warsaw, 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 $13,537 - $15,313 96%
Blue Cross Blue Shieldmajor $15,042 - $27,601 107%
Aetnamajor $15,042 107%
Humanamajor $15,042 107%
Devoted Health $15,342 109%
+ 12 smaller / regional plans $10,765 - $34,847
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals