CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Clara Barton Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$17,423

about 1.2× the $14,044 Medicare rate · typically $8,394–$30,951

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,718

Above the fair price

about $4,295 over the fair price · 1.5× Medicare

Medicare pays $14,044 Fair price $17,423 This hospital $21,718 Cash price $26,091 Hospital's list price $37,273

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $8,892 Priciest $21,718

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,423 (about 1.2× the $14,044 Medicare rate). Clara Barton Hospital charges insurers about $21,718, or about $26,091 in cash — above the fair price. Located in Hoisington, KS.

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 $17,423. 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.

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	$33,546	239%
Blue Cross Blue Shieldmajor	$21,718	155%
Aetnamajor	$33,546	239%
+ 3 smaller / regional plans	$26,091 - $34,291

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 26,091), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Clara Barton Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Clara Barton Hospital

Compare: Hip or knee replacement (inpatient stay) at other KS hospitals

Rehabilitation Hospital of Overland Park · Overland Park $8,892
Children's Mercy South · Overland Park $9,956
Scott County Hospital · Scott City $10,421
William Newton Hospital · Winfield $10,421
Holton Community Hospital · Holton $11,434
Manhattan Surgical Hospital LLC · Manhattan $11,941
Kansas Spine & Specialty Hospital, LLC · Wichita $12,600
Mercy Specialty Hospital Southeast Kansas · Galena $13,110

Insurance negotiated median for the same procedure, sorted lowest first.