Hip or knee replacement (inpatient stay)
Facility: Mainehealth Pen Bay Hospital
Billing Code: 470 (MS-DRG)
A typical price — 3 charge more and 4 charge less, among the 8 ME hospitals compared.
Black dot = this hospital, among the 8 ME hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $17,329 (about 1.2× the $14,044 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $19,483 — about the fair price. Located in Rockport, ME.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 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 | $19,195 | 137% |
| Blue Cross Blue Shieldmajor | $19,387 - $38,270 | 138% |
| Aetnamajor | $19,579 | 139% |
| Humanamajor | $19,195 | 137% |
| WellCare | $19,771 | 141% |
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 Mainehealth Pen Bay Hospital
Compare: Hip or knee replacement (inpatient stay) at other ME hospitals
- Mainehealth Mid Coast Hospital · Brunswick $14,143
- Central Maine Medical Center · Lewiston $15,125
- Mainehealth Maine Medical Center · Portland $16,659
- Cary Medical Center · Caribou $17,447
- Rumford Hospital · Rumford $22,740
- Bridgton Hospital · Bridgton $22,740
- St Mary's Regional Medical Center · Lewiston $25,062
Insurance negotiated median for the same procedure, sorted lowest first.