CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Unity Physicians Hospital
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$17,381
about 1.2× the $14,044 Medicare rate · typically $10,735–$31,795
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $17,381 Hospital's list price $95,702
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 | $11,325 - $23,749 | 81% |
| Blue Cross Blue Shieldmajor | $11,325 - $17,574 | 81% |
| Aetnamajor | $11,325 | 81% |
| Cignamajor | $11,325 | 81% |
| Humanamajor | $21,000 | 150% |
| Health Net | $23,749 | 169% |
| Medica | $23,749 | 169% |
| + 9 smaller / regional plans | $11,325 - $23,749 |
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Unity Physicians 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.