CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Riverside Methodist Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,001
about 1.1× the $14,044 Medicare rate · typically $14,561–$31,721
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,190
About the fair price
about $189 over the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $16,001 This hospital $16,190

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $8,680 Priciest $16,190

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,001 (about 1.1× the $14,044 Medicare rate). Riverside Methodist Hospital charges insurers about $16,190 — about the fair price. Located in Columbus, OH.

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 $16,190 - $34,857 115%
Blue Cross Blue Shieldmajor $16,190 - $37,299 115%
Aetnamajor $16,190 - $41,728 115%
Cignamajor $16,190 - $38,937 115%
Humanamajor $16,190 115%
CareSource $16,190 115%
Devoted Health $16,190 115%
Medical Mutual $16,190 - $35,080 115%
Molina $16,190 115%
+ 3 smaller / regional plans $16,190

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Facility Profile & Credentials

  • Address: 3535 Olentangy River Rd, Columbus, OH 43214
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals