CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mercy Health Kings Mills Hospital LLC

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,118
about 1.2× the $14,044 Medicare rate · typically $14,431–$26,637
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,973
Above the fair price
about $3,855 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $17,118 This hospital $20,973

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 $20,973

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 $17,118 (about 1.2× the $14,044 Medicare rate). Mercy Health Kings Mills Hospital LLC charges insurers about $20,973 — above the fair price. Located in Mason, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,118. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $13,336 - $36,578 95%
Blue Cross Blue Shieldmajor $15,411 - $36,105 110%
Aetnamajor $26,866 191%
Cignamajor $28,540 203%
Humanamajor $13,401 95%
CareSource $13,669 - $19,432 97%
Devoted Health $13,401 95%
Medical Mutual $33,163 236%
Paramount $13,401 95%
+ 3 smaller / regional plans $13,401 - $20,772
Government programs also on file: Medicare.

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.

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Facility Profile & Credentials

  • Address: 5440 Kings Island Drive, Mason, OH 45040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals