CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: University of Kentucky Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,560
about 1.1× the $14,044 Medicare rate · typically $13,768–$17,475
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,917
Above the fair price
about $2,357 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $15,560 This hospital $17,917

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 $17,917

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 $15,560 (about 1.1× the $14,044 Medicare rate). University of Kentucky Hospital charges insurers about $17,917 — above the fair price. Located in Lexington, KY.

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 $15,560. 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.

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 $17,566 - $23,725 125%
Blue Cross Blue Shieldmajor $13,855 - $27,794 99%
Aetnamajor $17,566 125%
Humanamajor $17,566 125%
HealthLink $20,226 144%
Molina $17,566 125%
WellCare $17,566 - $25,470 125%
+ 5 smaller / regional plans $17,566 - $26,348

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 800 Rose Street, Lexington, KY 40536
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals