CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$22,308
about 1.6× the $14,044 Medicare rate · typically $10,119–$36,330
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,788
Above the fair price
about $9,480 over the fair price · 2.3× Medicare
Medicare pays $14,044 Fair price $22,308 This hospital $31,788

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 $31,788

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 $22,308 (about 1.6× the $14,044 Medicare rate). Nationwide Children's Hospital Toledo, LLC charges insurers about $31,788 — above the fair price. Located in Toledo, 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 $22,308. 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Cigna Blue Cross Blue ShieldAetnaHumanaKaiser 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 $28,854 205%
Cignamajor $34,722 247%
Government programs also on file: Military & VA.

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: 2213 Cherry Street, Toledo, OH 43608
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens