CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Phoenixville Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,243
about 1.3× the $14,044 Medicare rate · typically $15,082–$25,664
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,233
Below the fair price — a good deal
about $3,010 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $18,243 This hospital $15,233

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $13,221 Priciest $15,233

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

A fair price for a Hip or knee replacement (inpatient stay) is about $18,243 (about 1.3× the $14,044 Medicare rate). Phoenixville Hospital charges insurers about $15,233 — below the fair price — a good deal. Located in Phoenixville, PA.

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 $12,331 - $23,147 88%
Blue Cross Blue Shieldmajor $14,507 - $45,310 103%
Aetnamajor $15,668 - $26,040 112%
Cignamajor $15,088 - $27,531 107%
Humanamajor $14,230 - $15,233 101%
Devoted Health $15,088 107%
Geisinger $14,928 - $23,147 106%
HealthPartners $15,233 108%
UPMC Health Plan $15,233 108%
+ 7 smaller / regional plans $14,502 - $33,193

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Facility Profile & Credentials

  • Address: 140 Nutt Road, Phoenixville, PA 19460
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals