CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lake Health Beachwood Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,331
about 1.1× the $14,044 Medicare rate · typically $10,674–$19,414
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,854
Below the fair price — a good deal
about $2,477 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $15,331 This hospital $12,854

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 4 charge less, among the 9 OH hospitals compared.

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 $15,331 (about 1.1× the $14,044 Medicare rate). Lake Health Beachwood Medical Center charges insurers about $12,854 — below the fair price — a good deal. Located in Beachwood, 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 $12,242 - $31,289 87%
Blue Cross Blue Shieldmajor $12,242 - $21,000 87%
Aetnamajor $12,242 - $21,790 87%
Cignamajor $12,242 - $20,159 87%
Humanamajor $12,242 87%
Ambetter (Centene) $22,035 157%
CareSource $22,035 157%
Devoted Health $12,242 87%
Medical Mutual $12,242 87%
Molina $12,242 - $13,466 87%
Paramount $12,609 90%
WellCare $12,242 87%
+ 8 smaller / regional plans $12,242 - $22,718

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Facility Profile & Credentials

  • Address: 25501 Chagrin Boulevard, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals