CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,059
about 1.3× the $14,044 Medicare rate · typically $15,008–$20,448
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,921
About the fair price
about $138 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $18,059 This hospital $17,921

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 $17,921

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 $18,059 (about 1.3× the $14,044 Medicare rate). Munson Healthcare Otsego Memorial Hospital charges insurers about $17,921 — about the fair price. Located in Gaylord, 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 $17,921 128%
Blue Cross Blue Shieldmajor $17,921 128%
Aetnamajor $18,101 129%
Cignamajor $21,558 154%
Humanamajor $17,921 128%
Molina $19,355 138%
Priority Health $17,921 - $21,558 128%
+ 5 smaller / regional plans $17,921 - $30,466
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals