CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Holyoke Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,032
about 1.2× the $14,044 Medicare rate · typically $16,716–$22,846
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,772
About the fair price
about $260 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $17,032 This hospital $16,772

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $12,252 Priciest $16,850

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

A fair price for a Hip or knee replacement (inpatient stay) is about $17,032 (about 1.2× the $14,044 Medicare rate). Holyoke Medical Center charges insurers about $16,772 — about the fair price. Located in Holyoke, MA.

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✓ Cigna HumanaKaiser 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 $3,887 - $20,046 28%
Blue Cross Blue Shieldmajor $15,974 114%
Aetnamajor $15,974 - $22,773 114%
Cignamajor $19,274 137%
Harvard Pilgrim $3,887 28%
Tufts Health Plan $2,744 - $16,772 20%
UniCare $4,000 28%
WellCare $17,092 122%
WellSense $16,932 121%
+ 5 smaller / regional plans $3,780 - $18,370

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Facility Profile & Credentials

  • Address: 575 Beech Street, Holyoke, MA 01040
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals