CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mount Carmel St Ann's

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,394
about 1.2× the $14,044 Medicare rate · typically $14,024–$33,220
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,285
Below the fair price — a good deal
about $3,109 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $16,394 This hospital $13,285 Cash price $57,693

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 $13,285

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,394 (about 1.2× the $14,044 Medicare rate). Mount Carmel St Ann's charges insurers about $13,285, or about $57,693 in cash — below the fair price — a good deal. Located in Westerville, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $42,486 303%
Aetnamajor $25,938 185%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals