CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Wilson Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,108
about 1.3× the $14,044 Medicare rate · typically $13,320–$23,433
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,765
Below the fair price — a good deal
about $4,343 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $18,108 This hospital $13,765 Cash price $48,774 Hospital's list price $121,934

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $12,504 Priciest $15,494

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,108 (about 1.3× the $14,044 Medicare rate). Wilson Medical Center charges insurers about $13,765, or about $48,774 in cash — below the fair price — a good deal. Located in Wilson, NC.

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 $13,902 99%
Blue Cross Blue Shieldmajor $13,765 - $16,877 98%
Aetnamajor $13,765 98%
Cignamajor $24,978 178%
Humanamajor $13,765 98%
AmeriHealth $17,115 122%
Devoted Health $13,902 99%
UniCare $13,765 98%
WellCare $13,765 98%
+ 1 smaller / regional plan $13,765
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1705 S Tarboro St, Wilson, NC 27893
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals