Hip or knee replacement (inpatient stay)
Facility: Mount Carmel East & West
Billing Code: 470 (MS-DRG)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $17,589 (about 1.3× the $14,044 Medicare rate). Mount Carmel East & West charges insurers about $40,373, or about $86,082 in cash — well above the fair price. Located in Columbus, OH.
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 $17,589. 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
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 | $14,313 - $43,470 | 102% |
| Blue Cross Blue Shieldmajor | $14,032 - $51,689 | 100% |
| Aetnamajor | $14,032 - $40,057 | 100% |
| Cignamajor | $40,373 | 287% |
| GEHA | $43,470 | 310% |
| HealthPartners | $40,373 | 287% |
| Medical Mutual | $31,431 - $43,655 | 224% |
| MVP Health Care | $40,373 | 287% |
| Oscar Health | $21,779 | 155% |
| Priority Health | $40,373 | 287% |
| + 10 smaller / regional plans | $14,605 - $51,689 |
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.
Other Procedures at Mount Carmel East & West
Compare: Hip or knee replacement (inpatient stay) at other OH hospitals
- Fulton County Health Center · Wauseon $8,680
- Cincinnati Children's Hospital Medical Center · Cincinnati $8,848
- Christ Hospital · Cincinnati $11,295
- Medina Hospital · Medina $12,593
- Bellevue Hospital · Bellevue $12,854
- Lake Health Beachwood Medical Center · Beachwood $12,854
- Cleveland Clinic Avon Hospital · Avon $12,968
- Mh St Joseph Warren Hospital · Warren $13,079
Insurance negotiated median for the same procedure, sorted lowest first.