CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,066
about 1.4× the $14,044 Medicare rate · typically $15,523–$26,344
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,974
About the fair price
about $92 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,066 This hospital $18,974 Cash price $26,093

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 $18,974

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 $19,066 (about 1.4× the $14,044 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $18,974, or about $26,093 in cash — about the fair price. Located in Philadelphia, 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 $16,829 - $32,712 120%
Blue Cross Blue Shieldmajor $17,324 123%
Aetnamajor $17,489 - $49,264 125%
Cignamajor $17,159 - $42,914 122%
Humanamajor $16,499 117%
Geisinger $18,974 - $67,278 135%
UPMC Health Plan $17,324 123%
WellCare $18,149 129%
+ 2 smaller / regional plans $17,489 - $30,533

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals