Hip or knee replacement (inpatient stay)
Facility: St Francis Hospital - the Heart Center
Billing Code: 470 (MS-DRG)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
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 $25,713 (about 1.8× the $14,044 Medicare rate). St Francis Hospital - the Heart Center charges insurers about $36,825 — above the fair price. Located in Roslyn, NY.
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 $25,713. 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
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 | $16,367 - $58,701 | 117% |
| Blue Cross Blue Shieldmajor | $16,039 - $58,701 | 114% |
| Aetnamajor | $16,624 - $59,033 | 118% |
| Cignamajor | $48,932 | 348% |
| Humanamajor | $16,694 | 119% |
| AmeriHealth | $70,286 | 500% |
| Cigna HealthSpring | $16,367 | 117% |
| Fidelis Care | $16,367 | 117% |
| Independent Health | $16,367 | 117% |
| MVP Health Care | $16,367 - $48,932 | 117% |
| WellCare | $17,022 | 121% |
| + 30 smaller / regional plans | $9,878 - $70,286 |
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 St Francis Hospital - the Heart Center
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 Mount Vernon Hospital · Mount Vernon $16,502
- Montefiore New Rochelle Hospital · New Rochelle $16,578
- Glens Falls Hospital · Glens Falls $17,096
- Geneva General Hospital · Geneva $17,152
Insurance negotiated median for the same procedure, sorted lowest first.