CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Westchester Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,268
about 2.0× the $14,044 Medicare rate · typically $18,325–$49,611
modeled estimate · not a bill or quote
What this hospital charges insurers
$57,483
Well above the fair price
about $29,215 over the fair price · 4.1× Medicare
Medicare pays $14,044 Fair price $28,268 This hospital $57,483 Cash price $106,035 Hospital's list price $147,065

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $11,437 Priciest $57,483

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 $28,268 (about 2.0× the $14,044 Medicare rate). Westchester Medical Center charges insurers about $57,483, or about $106,035 in cash — well above the fair price. Located in Valhalla, 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 $28,268. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $21,632 - $78,763 154%
Blue Cross Blue Shieldmajor $21,632 - $101,954 154%
Aetnamajor $21,632 - $88,955 154%
Cignamajor $21,632 - $97,184 154%
CDPHP $21,298 - $99,398 152%
MagnaCare $21,632 - $123,357 154%
Molina $22,714 162%
MVP Health Care $21,632 - $83,714 154%
Oscar Health $22,281 159%
WellCare $21,632 - $40,020 154%
+ 8 smaller / regional plans $1,523 - $98,708
Government programs also on file: Military & VA.

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: 100 Woods Rd, Valhalla, NY 10595
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals