CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Iu Health West Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,267
about 1.4× the $14,044 Medicare rate · typically $13,325–$31,509
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,593
Above the fair price
about $4,326 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $20,267 This hospital $24,593

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 $24,593

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 $20,267 (about 1.4× the $14,044 Medicare rate). Iu Health West Hospital charges insurers about $24,593 — above the fair price. Located in Avon, 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 $20,267. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $15,554 - $43,796 111%
Blue Cross Blue Shieldmajor $15,554 - $47,258 111%
Aetnamajor $15,554 111%
Cignamajor $66,345 - $100,984 472%
Humanamajor $15,322 - $15,629 109%
Ambetter (Centene) $25,728 183%
CareSource $23,332 166%
Health Net $38,886 - $50,284 277%
WellCare $15,865 113%
+ 6 smaller / regional plans $15,554 - $39,542

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1111 N Ronald Reagan Pkwy, Avon, IN 46123
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals