CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lakeland Hospital, St Joseph

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,914
about 1.2× the $14,044 Medicare rate · typically $15,105–$21,451
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,933
About the fair price
about $19 over the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $16,914 This hospital $16,933

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $7,442 Priciest $16,933

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,914 (about 1.2× the $14,044 Medicare rate). Lakeland Hospital, St Joseph charges insurers about $16,933 — about the fair price. Located in St Joseph, MI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $16,933 121%
Blue Cross Blue Shieldmajor $16,933 - $38,564 121%
Aetnamajor $16,933 121%
Humanamajor $16,933 121%
Ambetter (Centene) $25,400 181%
Priority Health $16,933 - $26,666 121%
+ 3 smaller / regional plans $16,933

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Facility Profile & Credentials

  • Address: 1234 Napier Avenue, St Joseph, MI 49085
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals