CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Olivia Hospital & Clinic

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$21,508

about 1.5× the $14,044 Medicare rate · typically $8,599–$28,787

modeled estimate · not a bill or quote

What this hospital charges insurers

$47,255

Well above the fair price

about $25,747 over the fair price · 3.4× Medicare

Medicare pays $14,044 Fair price $21,508 This hospital $47,255 Cash price $31,860 Hospital's list price $50,016

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 $47,255

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 $21,508 (about 1.5× the $14,044 Medicare rate). Olivia Hospital & Clinic charges insurers about $47,255, or about $31,860 in cash — well above the fair price. Located in Olivia, MN.

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 $21,508. 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.

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	$3,897	28%
Blue Cross Blue Shieldmajor	$3,824	27%
HealthPartners	$47,255	336%

Government programs also on file: Medicare, Medicaid.

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 31,860), 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 Olivia Hospital & Clinic 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 Olivia Hospital & Clinic

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

Kittson Healthcare · Hallock $7,536
Lakewood Health System · Staples $7,914
Winona Health Services · Winona $14,361
Alomere Health · Alexandria $14,527
Centracare- Rice Memorial Hospital · Willmar $14,661
Range Regional Health Services · Hibbing $14,971
North Memorial Health Hospital · Robbinsdale $15,043
Hutchinson Health · Hutchinson $15,337

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