CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ascension River District Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,381
about 1.4× the $14,044 Medicare rate · typically $11,713–$25,113
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,251
Below the fair price — a good deal
about $7,130 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $19,381 This hospital $12,251

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MI hospitals compared.

Cheapest $7,442 Priciest $13,932

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 $19,381 (about 1.4× the $14,044 Medicare rate). Ascension River District Hospital charges insurers about $12,251 — below the fair price — a good deal. Located in East China, 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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $10,828 77%
Aetnamajor $9,410 - $12,190 67%
Humanamajor $8,400 - $12,312 60%
Ambetter (Centene) $15,238 109%
AmeriHealth $12,068 86%
Molina $12,800 - $15,238 91%
WellCare $12,800 91%
+ 6 smaller / regional plans $12,190 - $25,519
Government programs also on file: Medicare, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals