CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence Milwaukie Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,341
about 1.7× the $14,044 Medicare rate · typically $18,471–$39,279
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,363
Above the fair price
about $14,022 over the fair price · 2.7× Medicare
Medicare pays $14,044 Fair price $24,341 This hospital $38,363

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $14,718 Priciest $38,363

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $24,341 (about 1.7× the $14,044 Medicare rate). Providence Milwaukie Hospital charges insurers about $38,363 — above the fair price. Located in Milwaukie, OR.

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 $24,341. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $21,435 - $57,555 153%
Blue Cross Blue Shieldmajor $20,033 - $47,960 143%
Cignamajor $61,601 439%
Humanamajor $20,033 143%
Health Net $20,033 143%
Moda Health $20,033 - $82,962 143%
Molina $21,635 - $36,660 154%
Providence Health Plan $20,033 - $61,420 143%
+ 2 smaller / regional plans $20,033 - $21,836

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10150 Se 32Nd Avenue, Milwaukie, OR 97222
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals