Hip or knee replacement (inpatient stay)
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: 470 (MS-DRG)
Highest price of the 9 MO hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $15,973 (about 1.1× the $14,044 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $15,872 — about the fair price. Located in Jefferson City, MO.
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
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 | $15,521 - $21,781 | 111% |
| Blue Cross Blue Shieldmajor | $15,652 - $21,779 | 111% |
| Cignamajor | $20,793 | 148% |
| Humanamajor | $15,872 | 113% |
| Ambetter (Centene) | $15,607 - $18,489 | 111% |
| HealthLink | $21,796 | 155% |
| WellCare | $15,607 | 111% |
| + 7 smaller / regional plans | $15,607 - $28,093 |
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.
Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Hip or knee replacement (inpatient stay) at other MO hospitals
- The Children's Mercy Hospital · Kansas City $9,158
- Mercy Hospital Lincoln · Troy $11,352
- Mercy Hospital Perry · Perryville $11,596
- Mercy Hospital Carthage · Carthage $12,006
- Mosaic Life Care at St Joseph · Saint Joseph $12,038
- Long Term Acute Care Hospital Mosaic Life Care at St Joseph · Saint Joseph $12,038
- St Mary's Medical Center · Blue Springs $14,076
- St Joseph Medical Center · Kansas City $14,346
Insurance negotiated median for the same procedure, sorted lowest first.