CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Southeastern Ohio Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$13,866
about 1.0× the $14,044 Medicare rate · typically $13,109–$14,173
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,294
About the fair price
about $572 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $13,866 This hospital $13,294

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 $13,294

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 $13,866 (about 1.0× the $14,044 Medicare rate). Southeastern Ohio Regional Medical Center charges insurers about $13,294 — about the fair price. Located in Cambridge, 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 $13,294 - $39,103 95%
Blue Cross Blue Shieldmajor $13,294 95%
Aetnamajor $13,294 95%
Cignamajor $13,499 96%
Humanamajor $13,294 95%
CareSource $13,427 96%
Devoted Health $13,294 95%
Medical Mutual $13,294 95%
Molina $13,294 95%
+ 1 smaller / regional plan $13,826

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Facility Profile & Credentials

  • Address: 1341 North Clark Street, Cambridge, OH 43725
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals