CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Chsli St Joseph Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,363
about 1.7× the $14,044 Medicare rate · typically $17,246–$40,615
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,169
Above the fair price
about $3,806 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $24,363 This hospital $28,169

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 $28,169

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 $24,363 (about 1.7× the $14,044 Medicare rate). Chsli St Joseph Hospital charges insurers about $28,169 — above the fair price. Located in Bethpage, 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 $24,363. 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 $13,704 - $39,371 98%
Blue Cross Blue Shieldmajor $13,430 - $39,371 96%
Aetnamajor $13,731 - $38,477 98%
Cignamajor $33,996 242%
Humanamajor $13,978 100%
AmeriHealth $42,501 303%
Cigna HealthSpring $13,704 98%
Fidelis Care $13,704 98%
Independent Health $13,704 98%
MVP Health Care $13,704 - $33,996 98%
WellCare $14,252 101%
+ 30 smaller / regional plans $6,454 - $42,501
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (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.

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Facility Profile & Credentials

  • Address: 4295 Hempstead Turnpike, Bethpage, NY 11714
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals