CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: CHI Saint Joseph Berea Nf

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,910
about 1.4× the $14,044 Medicare rate · typically $12,673–$21,176
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,559
About the fair price
about $351 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,910 This hospital $19,559

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 $19,559

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 $19,910 (about 1.4× the $14,044 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $19,559 — about the fair price. Located in Berea, 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 $3,085 - $15,378 22%
Blue Cross Blue Shieldmajor $3,176 - $26,548 23%
Aetnamajor $3,024 - $3,686 22%
Humanamajor $3,024 - $3,578 22%
CareSource $7,156 51%
Molina $3,085 - $3,757 22%
WellCare $3,085 - $3,578 22%

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Facility Profile & Credentials

  • Address: 305 Estill Street, Berea, KY 40403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals