CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,728

about 1.8× the $14,044 Medicare rate · typically $17,413–$36,018

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,405

About the fair price

about $1,323 under the fair price · 1.7× Medicare

Medicare pays $14,044 Fair price $24,728 This hospital $23,405

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $15,142 Priciest $23,405

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

A fair price for a Hip or knee replacement (inpatient stay) is about $24,728 (about 1.8× the $14,044 Medicare rate). University Medical Center of Princeton at Plainsboro charges insurers about $23,405 — about the fair price. Located in Plainsboro, NJ.

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	$2,288 - $15,736	16%
Blue Cross Blue Shieldmajor	$1,954 - $28,438	14%
Aetnamajor	$1,903 - $27,163	14%
Cignamajor	$16,208 - $22,422	115%
Humanamajor	$16,992	121%
AmeriHealth	$2,478	18%
Clover Health	$16,677	119%
Health Net	$3,065 - $6,075	22%
MagnaCare	$5,693	41%
+ 9 smaller / regional plans	$1,907 - $30,727

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm University Medical Center of Princeton at Plainsboro is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University Medical Center of Princeton at Plainsboro

Compare: Hip or knee replacement (inpatient stay) at other NJ hospitals

Valley Hospital · Paramus $15,142
Shore Medical Center · Somers Point $15,215
Carewell Health Medical Center · East Orange $16,253
Southern Ocean Medical Center · Manahawkin $17,238
Riverview Medical Center · Red Bank $17,275
Bayshore Medical Center · Holmdel $17,391
Jersey Shore University Medical Center · Neptune $18,886
Jfk University Medical Center · Edison $18,963

Insurance negotiated median for the same procedure, sorted lowest first.