CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Indiana Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,747
about 1.1× the $14,044 Medicare rate · typically $13,769–$17,162
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,512
About the fair price
about $1,235 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $15,747 This hospital $14,512

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 $14,512

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 $15,747 (about 1.1× the $14,044 Medicare rate). Indiana Regional Medical Center charges insurers about $14,512 — about the fair price. Located in Indiana, 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 $14,026 - $20,849 100%
Blue Cross Blue Shieldmajor $12,497 - $23,370 89%
Aetnamajor $14,056 - $23,147 100%
Cignamajor $23,141 165%
Humanamajor $13,736 98%
Ambetter (Centene) $14,470 103%
AmeriHealth $14,470 103%
Geisinger $14,468 - $27,601 103%
UPMC Health Plan $14,506 - $20,355 103%
+ 1 smaller / regional plan $23,845
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals