CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Moses H. Cone Memorial Hospital, The
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$18,810
about 1.3× the $14,044 Medicare rate · typically $15,968–$28,756
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $18,810 Hospital's list price $1
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $17,518 | 125% |
| Blue Cross Blue Shieldmajor | $17,174 - $42,761 | 122% |
| Aetnamajor | $17,518 | 125% |
| Cignamajor | $17,689 | 126% |
| Humanamajor | $17,689 | 126% |
| Devoted Health | $17,174 | 122% |
| Fidelis Care | $17,174 | 122% |
| UniCare | $17,174 | 122% |
| WellCare | $17,689 | 126% |
| + 8 smaller / regional plans | $17,174 - $23,223 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Moses H. Cone Memorial Hospital, The
Compare: Hip or knee replacement (inpatient stay) at other NC hospitals
- Maria Parham Medical Center · Henderson $12,504
- Haywood Regional Medical Center · Clyde $12,776
- Frye Regional Medical Center · Hickory $13,055
- Sentara Albemarle Medical Center · Elizabeth City $13,600
- Wilson Medical Center · Wilson $13,765
- Rutherford Regional Medical Center · Rutherfordton $14,262
- Harris Regional Hospital · Sylva $14,371
- Carteret General Hospital · Morehead City $15,195
Insurance negotiated median for the same procedure, sorted lowest first.