CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Catawba Valley Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,886
about 1.4× the $14,044 Medicare rate · typically $14,261–$30,535
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,924
Above the fair price
about $7,038 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $19,886 This hospital $26,924 Cash price $20,251 Hospital's list price $33,751

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $12,504 Priciest $26,924

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

A fair price for a Hip or knee replacement (inpatient stay) is about $19,886 (about 1.4× the $14,044 Medicare rate). Catawba Valley Medical Center charges insurers about $26,924, or about $20,251 in cash — above the fair price. Located in Hickory, NC.

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 $19,886. 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

✓ 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 $13,682 - $16,876 97%
Blue Cross Blue Shieldmajor $2,940 - $16,369 21%
Aetnamajor $26,924 192%
Cignamajor $2,884 - $33,751 21%
Humanamajor $2,856 - $28,688 20%
CareSource $5,320 38%
Devoted Health $2,940 21%
WellCare $2,884 21%
+ 5 smaller / regional plans $2,940 - $27,000
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 810 Fairgrove Church Rd, Hickory, NC 28602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals