CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Highlands Arh Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,911
about 1.1× the $14,044 Medicare rate · typically $9,865–$17,220
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,659
About the fair price
about $748 over the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $15,911 This hospital $16,659

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $8,915 Priciest $16,659

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

A fair price for a Hip or knee replacement (inpatient stay) is about $15,911 (about 1.1× the $14,044 Medicare rate). Highlands Arh Regional Medical Center charges insurers about $16,659 — about the fair price. Located in Prestonsburg, KY.

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✓ Humana CignaKaiser 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 $16,659 119%
Blue Cross Blue Shieldmajor $12,527 - $24,204 89%
Aetnamajor $11,901 - $16,659 85%
Humanamajor $12,527 - $16,659 89%
Molina $12,778 91%
WellCare $16,659 119%

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Facility Profile & Credentials

  • Address: 5000 Kentucky Route 321, Prestonsburg, KY 41653
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals