CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Atlantic General Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$23,268
about 1.7× the $14,044 Medicare rate · typically $7,359–$27,917
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,377
Above the fair price
about $11,109 over the fair price · 2.4× Medicare
Medicare pays $14,044 Fair price $23,268 This hospital $34,377 Cash price $34,377 Hospital's list price $34,377

How we calculate the fair BaseRate →

A fair price for a Hip or knee replacement (inpatient stay) is about $23,268 (about 1.7× the $14,044 Medicare rate). Atlantic General Hospital charges insurers about $34,377, or about $34,377 in cash — above the fair price. Located in Berlin, MD.

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 $23,268. 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $34,377

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: 9733 Healthway Drive, Berlin, MD 21811
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals