CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Berkshire Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,220
about 1.2× the $14,044 Medicare rate · typically $12,111–$21,744
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,790
Above the fair price
about $5,570 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $16,220 This hospital $21,790

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $12,252 Priciest $21,790

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 $16,220 (about 1.2× the $14,044 Medicare rate). Berkshire Medical Center charges insurers about $21,790 — above the fair price. Located in Pittsfield, MA.

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 $16,220. 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $19,423 - $21,790 138%
Blue Cross Blue Shieldmajor $20,023 143%
UniCare $22,788 162%
+ 4 smaller / regional plans $21,790 - $25,667
Government programs also on file: Medicare.

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: 725 North Street, Pittsfield, MA 01201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals