CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Milton S Hershey Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,150
about 1.2× the $14,044 Medicare rate · typically $14,591–$20,657
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,879
Above the fair price
about $3,729 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $17,150 This hospital $20,879

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 $20,879

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 $17,150 (about 1.2× the $14,044 Medicare rate). Milton S Hershey Medical Center charges insurers about $20,879 — above the fair price. Located in Hershey, PA.

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 $17,150. 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.

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 $21,296 - $52,175 152%
Blue Cross Blue Shieldmajor $20,670 - $38,428 147%
Aetnamajor $20,879 - $44,984 149%
Cignamajor $52,944 377%
Humanamajor $21,087 150%
AmeriHealth $20,879 149%
Cigna HealthSpring $21,087 150%
Geisinger $20,879 149%
HealthPartners $21,296 152%
UPMC Health Plan $21,925 156%
+ 2 smaller / regional plans $21,505 - $26,098

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: 500 University Drive, Hershey, PA 17033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals