CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: South County Hospital Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,390
about 1.4× the $14,044 Medicare rate · typically $14,055–$23,303
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,770
Below the fair price — a good deal
about $5,620 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $19,390 This hospital $13,770 Cash price $19,922 Hospital's list price $33,203

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Lowest price of the 5 RI hospitals we have prices for — a strong deal.

Cheapest $13,770 Priciest $21,653

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,390 (about 1.4× the $14,044 Medicare rate). South County Hospital Inc charges insurers about $13,770, or about $19,922 in cash — below the fair price — a good deal. Located in Wakefield, RI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $13,770 - $31,684 98%
Blue Cross Blue Shieldmajor $13,675 - $13,770 97%
Aetnamajor $13,770 98%
Cignamajor $29,255 208%
Tufts Health Plan $13,770 98%
+ 1 smaller / regional plan $35,377
Government programs also on file: Medicare, Military & VA.

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: 100 Kenyon Ave, Wakefield, RI 02879
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals