CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Crystal Clinic Orthopaedic Center
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$16,361
about 1.2× the $14,044 Medicare rate · typically $14,112–$22,284
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $16,361 Hospital's list price $61,790
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 | $12,979 - $26,862 | 92% |
| Aetnamajor | $35,170 | 250% |
| Cignamajor | $30,425 | 217% |
| + 15 smaller / regional plans | $12,979 - $38,557 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Crystal Clinic Orthopaedic Center
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.