CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,486
about 1.2× the $14,044 Medicare rate · typically $14,945–$22,142
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,200
About the fair price
about $1,286 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,486 This hospital $15,200

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 $15,200

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 $16,486 (about 1.2× the $14,044 Medicare rate). Munson Healthcare Cadillac Hospital charges insurers about $15,200 — about the fair price. Located in Cadillac, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $15,200 108%
Blue Cross Blue Shieldmajor $15,200 - $33,728 108%
Aetnamajor $15,200 108%
Cignamajor $11,176 80%
Humanamajor $15,200 108%
Molina $16,416 117%
Priority Health $11,176 - $15,200 80%
WellCare $15,200 108%
+ 8 smaller / regional plans $15,200 - $25,840
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals