CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Uh St John Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,529
about 1.1× the $14,044 Medicare rate · typically $10,748–$21,573
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,263
Above the fair price
about $6,734 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $15,529 This hospital $22,263

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 $22,263

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 $15,529 (about 1.1× the $14,044 Medicare rate). Uh St John Medical Center charges insurers about $22,263 — above the fair price. Located in Westlake, 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 $15,529. 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 $22,263 - $41,946 159%
Blue Cross Blue Shieldmajor $22,263 - $34,299 159%
Aetnamajor $22,263 - $39,628 159%
Cignamajor $14,401 - $22,263 103%
Humanamajor $22,263 159%
Ambetter (Centene) $40,073 285%
CareSource $40,073 285%
Devoted Health $22,263 159%
Medical Mutual $20,011 - $24,457 142%
Molina $22,263 159%
Paramount $22,931 163%
WellCare $22,263 159%
+ 8 smaller / regional plans $10,978 - $24,512

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals