Hip or knee replacement (inpatient stay)
Facility: SSM Health Saint Louis University Hospital
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 $18,192 (about 1.3× the $14,044 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $21,920 — above the fair price. Located in Saint Louis, MO.
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 $18,192. 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.
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 | $21,920 - $36,651 | 156% |
| Blue Cross Blue Shieldmajor | $21,481 | 153% |
| Aetnamajor | $21,920 - $22,358 | 156% |
| Cignamajor | $25,679 | 183% |
| Humanamajor | $22,292 | 159% |
| Ambetter (Centene) | $21,920 - $23,243 | 156% |
| HealthLink | $38,660 - $58,129 | 275% |
| Medica | $17,391 - $21,920 | 124% |
| Molina | $21,920 | 156% |
| + 6 smaller / regional plans | $21,920 - $22,577 |
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 Saint Louis University Hospital
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.