CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$17,833
about 1.3× the $14,044 Medicare rate · typically $10,523–$42,104
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,718
Below the fair price — a good deal
about $3,115 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $17,833 This hospital $14,718

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 $14,718

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 $17,833 (about 1.3× the $14,044 Medicare rate). Shriners Hospitals for Children - Philadelphia charges insurers about $14,718 — below the fair price — a good deal. 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.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $20,205 144%
Blue Cross Blue Shieldmajor $2,113 15%
Ambetter (Centene) $3,137 - $20,740 22%
AmeriHealth $5,099 - $20,740 36%
Providence Health Plan $14,718 105%
WellCare $5,926 42%
+ 1 smaller / regional plan $3,895
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens