CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Chelsea Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,226

about 1.4× the $14,044 Medicare rate · typically $12,529–$30,604

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,225

Above the fair price

about $10,999 over the fair price · 2.2× Medicare

Medicare pays $14,044 Fair price $19,226 This hospital $30,225 Cash price $39,520

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 $30,225

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 $19,226 (about 1.4× the $14,044 Medicare rate). Chelsea Hospital charges insurers about $30,225, or about $39,520 in cash — above the fair price. Located in Chelsea, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,226. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Kaiser Permanente CignaHumana

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	$14,302	102%
Blue Cross Blue Shieldmajor	$13,607 - $38,108	97%
Aetnamajor	$13,607 - $33,750	97%
Kaiser Permanentemajor	$38,108	271%
CareSource	$29,207	208%
GEHA	$33,750	240%
HealthPartners	$2,715	19%
Molina	$18,051	129%
Priority Health	$26,134 - $29,038	186%
Tufts Health Plan	$2,715	19%
+ 14 smaller / regional plans	$2,000 - $38,108

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 39,520), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Chelsea Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Chelsea Hospital

Compare: Hip or knee replacement (inpatient stay) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.