CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Orthoindy Hospital
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$7,490
about 0.5× the $14,044 Medicare rate · typically $7,256–$14,877
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $7,490 Cash price $18,085 Hospital's list price $40,901
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 | $12,057 - $23,811 | 86% |
| Blue Cross Blue Shieldmajor | $12,057 - $31,944 | 86% |
| Aetnamajor | $1,480 - $12,057 | 11% |
| Cignamajor | $12,057 - $29,426 | 86% |
| Humanamajor | $2,431 - $12,057 | 17% |
| Ambetter (Centene) | $12,057 - $21,099 | 86% |
| Cigna HealthSpring | $12,057 | 86% |
| Health Net | $1,480 - $12,057 | 11% |
| HealthPartners | $27,944 | 199% |
| Medica | $22,355 - $23,054 | 159% |
| Medical Mutual | $1,506 - $4,230 | 11% |
| + 35 smaller / regional plans | $1,480 - $40,901 |
Government programs also on file: Medicare, Military & VA.
Excludes 18 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Orthoindy 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.