CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$16,310
about 1.2× the $14,044 Medicare rate · typically $8,804–$29,990
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,033
Above the fair price
about $3,723 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $16,310 This hospital $20,033

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 $20,033

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 $16,310 (about 1.2× the $14,044 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $20,033 — above the fair price. Located in Cleveland, 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 $16,310. 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 $20,033 143%
Blue Cross Blue Shieldmajor $20,033 143%
Aetnamajor $20,033 143%
Cignamajor $20,033 143%
Humanamajor $20,033 143%
Devoted Health $20,033 143%
Medical Mutual $20,033 143%
Molina $20,033 143%
Paramount $20,634 147%
WellCare $20,033 143%
+ 5 smaller / regional plans $20,033 - $21,034

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: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens