CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Ohio Valley Surgical Hospital
Billing Code: 470 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$10,942
about 0.8× the $14,044 Medicare rate · typically $4,494–$11,406
modeled estimate · not a bill or quote
Medicare pays $14,044 Fair price $10,942 Cash price $189 Hospital's list price $338
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 | $4,022 - $17,571 | 29% |
| Blue Cross Blue Shieldmajor | $3,557 - $40,293 | 25% |
| Aetnamajor | $4,022 - $20,896 | 29% |
| Cignamajor | $11,885 - $18,817 | 85% |
| Humanamajor | $4,493 - $11,919 | 32% |
| AmeriHealth | $3,657 | 26% |
| CareSource | $4,364 - $17,827 | 31% |
| Devoted Health | $13,707 | 98% |
| GEHA | $17,571 - $20,896 | 125% |
| Medica | $17,571 | 125% |
| Molina | $4,084 - $11,885 | 29% |
| UniCare | $11,885 | 85% |
| WellCare | $11,885 | 85% |
| + 41 smaller / regional plans | $1,406 - $20,896 |
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
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.
Other Procedures at Ohio Valley Surgical 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
- 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.