CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Hillcrest Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,241
about 1.1× the $14,044 Medicare rate · typically $10,756–$20,421
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,189
Below the fair price — a good deal
about $2,052 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $15,241 This hospital $13,189

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 $13,189

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 $15,241 (about 1.1× the $14,044 Medicare rate). Hillcrest Hospital charges insurers about $13,189 — below the fair price — a good deal. Located in Mayfield Heights, 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 $13,189 - $20,885 94%
Blue Cross Blue Shieldmajor $12,198 - $13,553 87%
Aetnamajor $13,189 - $37,297 94%
Cignamajor $13,584 - $29,225 97%
Humanamajor $13,189 94%
Devoted Health $13,189 94%
UniCare $13,848 99%
UPMC Health Plan $13,189 94%
+ 6 smaller / regional plans $13,189 - $60,600

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Facility Profile & Credentials

  • Address: 6780 Mayfield Road, Mayfield Heights, OH 44124
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals