CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Fairview Hospital
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$15,470
about 1.1× the $14,044 Medicare rate · typically $8,229–$22,238
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $15,470
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 | $4,909 | 35% |
| Blue Cross Blue Shieldmajor | $4,846 | 35% |
| UniCare | $26,326 | 187% |
| + 5 smaller / regional plans | $4,811 - $5,645 |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Fairview 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.