CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hiawatha Community Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,685
about 1.2× the $14,044 Medicare rate · typically $8,616–$23,105
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,733
About the fair price
about $952 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,685 This hospital $15,733 Cash price $32,516 Hospital's list price $32,516

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 $15,733

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 $16,685 (about 1.2× the $14,044 Medicare rate). Hiawatha Community Hospital charges insurers about $15,733, or about $32,516 in cash — about the fair price. Located in Hiawatha, KS.

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 $7,248 - $27,931 52%
Blue Cross Blue Shieldmajor $21,044 - $22,152 150%
Aetnamajor $7,248 - $27,249 52%
Cignamajor $30,890 220%
Humanamajor $7,248 52%
Ambetter (Centene) $8,698 62%
Oscar Health $24,387 174%
+ 4 smaller / regional plans $7,330 - $29,265
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Utah Street, Hiawatha, KS 66434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals