CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: M Health Fairview St John's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,314
about 1.2× the $14,044 Medicare rate · typically $14,543–$20,890
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,694
About the fair price
about $620 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,314 This hospital $15,694

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 $15,694

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 $16,314 (about 1.2× the $14,044 Medicare rate). M Health Fairview St John's Hospital charges insurers about $15,694 — about the fair price. Located in Maplewood, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $14,806 - $34,069 105%
Blue Cross Blue Shieldmajor $15,398 110%
HealthPartners $11,313 - $36,333 81%
Medica $7,999 - $39,369 57%
Sanford Health Plan $14,806 105%
Security Health Plan $14,806 105%
UCare $15,102 - $34,676 108%
WellCare $14,806 105%
+ 3 smaller / regional plans $14,806

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Facility Profile & Credentials

  • Address: 1575 Beam Avenue, Maplewood, MN 55109
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals