Hip or knee replacement (inpatient stay)
Facility: St Charles Medical Center Prineville
Billing Code: 470 (MS-DRG)
Highest price of the 9 OR hospitals we have prices for — worth calling around.
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 $19,598 (about 1.4× the $14,044 Medicare rate). St Charles Medical Center Prineville charges insurers about $33,548, or about $76,338 in cash — above the fair price. Located in Prineville, 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 $19,598. 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.
6 of 6 major insurers have a published price at this hospital
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 | $5,349 | 38% |
| Blue Cross Blue Shieldmajor | $5,884 - $40,127 | 42% |
| Aetnamajor | $5,349 | 38% |
| Cignamajor | $5,349 | 38% |
| Humanamajor | $5,349 | 38% |
| Kaiser Permanentemajor | $5,349 - $31,032 | 38% |
| Devoted Health | $5,349 | 38% |
| Health Net | $5,349 | 38% |
| Moda Health | $33,548 | 239% |
| PacificSource | $12,778 - $14,164 | 91% |
| Providence Health Plan | $33,548 | 239% |
| UniCare | $5,349 | 38% |
| WellCare | $5,349 | 38% |
| + 12 smaller / regional plans | $5,349 - $44,770 |
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.
Other Procedures at St Charles Medical Center Prineville
Compare: Hip or knee replacement (inpatient stay) at other OR hospitals
- Shriners Hospital for Children - Portland · Portland $14,718
- Santiam Hospital & Clinics · Stayton $16,389
- St Charles Medical Center - Bend · Bend $16,774
- Mid-Columbia Medical Center · The Dalles $16,845
- Providence Newberg Medical Center · Newberg $17,666
- Legacy Meridian Park Medical Center · Tualatin $18,333
- Sky Lakes Medical Center · Klamath Falls $19,733
- Legacy Mount Hood Medical Center · Gresham $20,333
Insurance negotiated median for the same procedure, sorted lowest first.