CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Monroe Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,597
about 1.5× the $14,044 Medicare rate · typically $18,939–$29,246
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,103
About the fair price
about $494 under the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $21,597 This hospital $21,103 Cash price $15,073

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 $21,103

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 $21,597 (about 1.5× the $14,044 Medicare rate). Monroe Hospital charges insurers about $21,103, or about $15,073 in cash — about the fair price. Located in Bloomington, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $15,074 - $26,922 107%
Blue Cross Blue Shieldmajor $15,074 - $27,133 107%
Aetnamajor $15,074 107%
+ 11 smaller / regional plans $15,074 - $30,147
Government programs also on file: Medicare, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals