Hip or knee replacement (inpatient stay)
Facility: Falmouth Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $22,256 (about 1.6× the $14,044 Medicare rate). Falmouth Hospital charges insurers about $25,360 — about the fair price. Located in Falmouth, MA.
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
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 | $23,630 | 168% |
| Blue Cross Blue Shieldmajor | $22,752 | 162% |
| Harvard Pilgrim | $27,937 | 199% |
| WellSense | $19,811 | 141% |
| + 3 smaller / regional plans | $21,164 - $51,217 |
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.
Other Procedures at Falmouth Hospital
Compare: Hip or knee replacement (inpatient stay) at other MA hospitals
- The Shriners' Hospital for Children - Boston · Boston $12,252
- Beth Israel Deaconess Hospital - Milton · Milton $13,752
- Metrowest Medical Center · Framingham $14,509
- Heywood Hospital - · Gardner $16,386
- Emerson Hospital - · W Concord $16,445
- Winchester Hospital · Winchester $16,517
- Anna Jaques Hospital · Newburyport $16,740
- Holyoke Medical Center · Holyoke $16,772
Insurance negotiated median for the same procedure, sorted lowest first.