CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Vincent Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,097
about 1.3× the $14,044 Medicare rate · typically $16,375–$20,938
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,608
About the fair price
about $511 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $18,097 This hospital $18,608

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 $18,608

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 $18,097 (about 1.3× the $14,044 Medicare rate). St Vincent Hospital charges insurers about $18,608 — about the fair price. Located in Worcester, 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

✓ 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 $57,506 - $73,584 409%
Blue Cross Blue Shieldmajor $9,889 - $43,308 70%
Molina $6,336 - $33,884 45%

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals