Hip or knee replacement (inpatient stay)
Facility: SSM St Clare Health Center
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 $17,507 (about 1.2× the $14,044 Medicare rate). SSM St Clare Health Center charges insurers about $14,962 — below the fair price — a good deal. Located in Fenton, MO.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $14,712 - $25,244 | 105% |
| Blue Cross Blue Shieldmajor | $14,933 - $34,045 | 106% |
| Aetnamajor | $14,712 - $22,684 | 105% |
| Cignamajor | $23,458 | 167% |
| Humanamajor | $14,962 | 107% |
| Ambetter (Centene) | $14,712 - $18,004 | 105% |
| HealthLink | $13,788 - $38,453 | 98% |
| Medica | $13,844 - $14,712 | 99% |
| Molina | $14,712 | 105% |
| Oscar Health | $22,568 | 161% |
| + 3 smaller / regional plans | $14,712 - $14,859 |
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 St Clare Health Center
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.