CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Pinnacle Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,412
about 1.2× the $14,044 Medicare rate · typically $12,876–$24,885
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,487
Below the fair price — a good deal
about $4,925 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $17,412 This hospital $12,487

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

One of the lower prices — 6 of 8 other IN hospitals charge more for the same procedure.

Cheapest $10,414 Priciest $13,833

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 $17,412 (about 1.2× the $14,044 Medicare rate). Pinnacle Hospital charges insurers about $12,487 — below the fair price — a good deal. Located in Crown Point, 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✓ Cigna HumanaKaiser 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 $4,623 - $13,208 33%
Blue Cross Blue Shieldmajor $8,383 - $35,841 60%
Aetnamajor $13,208 - $13,907 94%
Cignamajor $11,766 84%

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Facility Profile & Credentials

  • Address: 9301 Connecticut Dr, Crown Point, IN 46307
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals