CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Clark Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,085
about 1.1× the $14,044 Medicare rate · typically $13,365–$15,085
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,488
Below the fair price — a good deal
about $1,597 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $15,085 This hospital $13,488 Cash price $48,458 Hospital's list price $121,144

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $8,915 Priciest $13,981

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $15,085 (about 1.1× the $14,044 Medicare rate). Clark Regional Medical Center charges insurers about $13,488, or about $48,458 in cash — below the fair price — a good deal. Located in Winchester, KY.

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 $3,196 23%
Blue Cross Blue Shieldmajor $13,892 - $20,827 99%
Aetnamajor $13,892 99%
Cignamajor $13,488 96%
Humanamajor $3,360 - $13,488 24%
Cigna HealthSpring $13,488 96%
Medical Mutual $13,488 96%
MVP Health Care $13,488 96%
UniCare $13,488 96%
WellCare $13,488 96%
+ 7 smaller / regional plans $1,794 - $13,758
Government programs also on file: Medicare, Military & VA.
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

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 175 Hospital Drive, Winchester, KY 40391
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals