CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Lukes Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,318
about 1.2× the $14,044 Medicare rate · typically $14,190–$19,186
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,643
About the fair price
about $675 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,318 This hospital $15,643

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $7,536 Priciest $15,643

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,318 (about 1.2× the $14,044 Medicare rate). St Lukes Hospital charges insurers about $15,643 — about the fair price. Located in Duluth, MN.

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✓ Humana CignaKaiser 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 $15,187 - $34,745 108%
Blue Cross Blue Shieldmajor $15,187 - $21,218 108%
Aetnamajor $15,643 111%
Humanamajor $15,947 114%
HealthPartners $13,900 - $32,483 99%
Medica $10,142 - $32,550 72%
Security Health Plan $15,643 111%
UCare $15,187 108%
+ 3 smaller / regional plans $15,187 - $41,015

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Facility Profile & Credentials

  • Address: 915 East 1St Street, Duluth, MN 55805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals