CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Jackson Purchase Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$13,925

about 1.0× the $14,044 Medicare rate · typically $13,894–$31,272

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,925

About the fair price

1.0× Medicare

Medicare pays $14,044 Fair price $13,925 This hospital $13,925 Cash price $28,172 Hospital's list price $70,431

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 of 8 other KY hospitals charge less.

Cheapest $8,915 Priciest $13,981

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 $13,925 (about 1.0× the $14,044 Medicare rate). Jackson Purchase Medical Center charges insurers about $13,925, or about $28,172 in cash — about the fair price. Located in Mayfield, 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	$2,896 - $14,203	21%
Blue Cross Blue Shieldmajor	$3,465 - $22,626	25%
Aetnamajor	$13,679 - $13,925	97%
Humanamajor	$13,925 - $14,343	99%
Molina	$13,944	99%
UniCare	$13,925	99%
WellCare	$13,925	99%
+ 3 smaller / regional plans	$1,785 - $14,203

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

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 28,172), 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 Jackson Purchase Medical Center 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 Jackson Purchase Medical Center

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

T J Samson Community Hospital · Glasgow $8,915
Murray-Calloway County Hospital · Murray $12,980
Georgetown Community Hospital · Georgetown $13,126
Bourbon Community Hospital · Paris $13,289
Saint Joseph London · London $13,485
Clark Regional Medical Center · Winchester $13,488
Tristar Greenview Regional Hospital · Bowling Green $13,578
Saint Joseph Hospital · Lexington $13,981

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