CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Christ Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,920

about 1.3× the $14,044 Medicare rate · typically $12,511–$27,244

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,295

Below the fair price — a good deal

about $7,625 under the fair price · 0.8× Medicare

Medicare pays $14,044 Fair price $18,920 This hospital $11,295 Cash price $33,497 Hospital's list price $53,629

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $8,680 Priciest $13,189

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 $18,920 (about 1.3× the $14,044 Medicare rate). Christ Hospital charges insurers about $11,295, or about $33,497 in cash — below the fair price — a good deal. Located in Cincinnati, 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	$11,295 - $31,829	80%
Blue Cross Blue Shieldmajor	$11,295 - $36,292	80%
Aetnamajor	$10,078 - $28,350	72%
Cignamajor	$11,295	80%
Humanamajor	$11,295	80%
GEHA	$31,829	227%
Medical Mutual	$19,313 - $29,714	138%
Meridian	$11,295	80%
Molina	$10,078	72%
WellCare	$10,078	72%
+ 10 smaller / regional plans	$11,295 - $33,497

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 33,497), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Christ Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Christ Hospital

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
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
Hillcrest Hospital · Mayfield Heights $13,189

Insurance negotiated median for the same procedure, sorted lowest first.