CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Promedica Monroe Regional Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,499
about 1.2× the $14,044 Medicare rate · typically $15,206–$17,676
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,398
About the fair price
about $1,101 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,499 This hospital $15,398

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 $15,398

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 $16,499 (about 1.2× the $14,044 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $15,398 — about the fair price. Located in Monroe, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $14,318 - $35,026 102%
Aetnamajor $14,318 - $16,878 102%
Humanamajor $14,748 105%
Paramount $13,960 99%
Priority Health $14,462 - $18,778 103%
+ 1 smaller / regional plan $1,538 - $14,605
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals