CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Fairview Bethesda Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$24,343
about 1.7× the $14,044 Medicare rate · typically $12,115–$39,994
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,765
Above the fair price
about $8,422 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $24,343 This hospital $32,765

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 $32,765

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 $24,343 (about 1.7× the $14,044 Medicare rate). Fairview Bethesda Hospital charges insurers about $32,765 — above the fair price. Located in Saint Paul, 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 $24,343. 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 $32,765 233%
Blue Cross Blue Shieldmajor $34,076 243%
HealthPartners $34,731 247%
Medica $34,731 247%
Sanford Health Plan $32,765 233%
Security Health Plan $32,765 233%
UCare $36,042 - $76,736 257%
WellCare $32,765 233%
+ 3 smaller / regional plans $32,765

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 45 10Th St W, Saint Paul, MN 55102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL