CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Kettering Health Troy

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,645
about 1.7× the $14,044 Medicare rate · typically $16,673–$34,723
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,837
About the fair price
about $192 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $23,645 This hospital $23,837

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 $23,837

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 $23,645 (about 1.7× the $14,044 Medicare rate). Kettering Health Troy charges insurers about $23,837 — about the fair price. Located in Troy, 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 $15,210 - $39,673 108%
Blue Cross Blue Shieldmajor $15,210 - $34,925 108%
Aetnamajor $15,210 - $32,854 108%
Cignamajor $15,210 - $38,234 108%
Humanamajor $15,210 108%
CareSource $15,210 - $23,506 108%
Devoted Health $15,210 108%
Medical Mutual $15,210 - $39,298 108%
Molina $15,970 - $31,245 114%
+ 4 smaller / regional plans $15,210 - $35,741

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Facility Profile & Credentials

  • Address: 600 West Main Street, Troy, OH 45373
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals