Hip or knee replacement (inpatient stay)
Facility: Montefiore Mount Vernon Hospital
Billing Code: 470 (MS-DRG)
A typical price — 4 charge more and 4 charge less, among the 9 NY hospitals compared.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $24,140 (about 1.7× the $14,044 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $16,502 — below the fair price — a good deal. Located in Mount Vernon, NY.
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 | $15,071 - $64,622 | 107% |
| Blue Cross Blue Shieldmajor | $15,071 | 107% |
| Aetnamajor | $54,334 - $60,779 | 387% |
| Cignamajor | $56,150 - $62,389 | 400% |
| Humanamajor | $15,523 | 111% |
| Fidelis Care | $15,071 | 107% |
| Molina | $20,797 | 148% |
| Oscar Health | $53,533 | 381% |
| WellCare | $15,071 | 107% |
| + 14 smaller / regional plans | $15,071 - $150,840 |
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 Montefiore Mount Vernon Hospital
Compare: Hip or knee replacement (inpatient stay) at other NY hospitals
- Community Memorial Hospital, Inc · Hamilton $11,437
- Kenmore Mercy Hospital · Kenmore $14,030
- Mercy Hospital of Buffalo · Buffalo $14,030
- Montefiore St Luke's Cornwall · Newburgh $16,352
- Montefiore New Rochelle Hospital · New Rochelle $16,578
- Glens Falls Hospital · Glens Falls $17,096
- Geneva General Hospital · Geneva $17,152
- Bertrand Chaffee Hospital · Springville $17,317
Insurance negotiated median for the same procedure, sorted lowest first.