CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Barnabas Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,087
about 1.7× the $14,044 Medicare rate · typically $17,436–$35,652
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,098
Above the fair price
about $15,011 over the fair price · 2.8× Medicare
Medicare pays $14,044 Fair price $24,087 This hospital $39,098

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 $39,098

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 $24,087 (about 1.7× the $14,044 Medicare rate). St Barnabas Hospital charges insurers about $39,098 — above the fair price. Located in Bronx, 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 $24,087. 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $38,360 - $39,098 273%
Aetnamajor $39,098 278%
Cignamajor $29,163 - $34,309 208%
Humanamajor $53,760 383%
EmblemHealth $39,098 278%
Fidelis Care $39,098 278%
WellCare $37,143 264%
+ 9 smaller / regional plans $27,746 - $39,880

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: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals