Hip or knee replacement (inpatient stay)
Facility: Highpoint Health-Sumner With Ascension Saint Thoma
Billing Code: 470 (MS-DRG)
A typical price — 4 charge more and 4 charge less, among the 9 TN hospitals compared.
Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $16,734 (about 1.2× the $14,044 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $13,369, or about $24,313 in cash — below the fair price — a good deal. Located in Gallatin, TN.
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
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 | $12,254 - $31,107 | 87% |
| Blue Cross Blue Shieldmajor | $12,733 - $33,070 | 91% |
| Cignamajor | $19,489 - $21,478 | 139% |
| Humanamajor | $12,733 | 91% |
| Ambetter (Centene) | $25,829 | 184% |
| Amerigroup | $12,733 | 91% |
| Cigna HealthSpring | $13,369 | 95% |
| Devoted Health | $13,115 | 93% |
| Health Net | $16,500 | 117% |
| + 3 smaller / regional plans | $12,733 - $13,497 |
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.
Other Procedures at Highpoint Health-Sumner With Ascension Saint Thoma
Compare: Hip or knee replacement (inpatient stay) at other TN hospitals
- Unity Medical Center · Manchester $7,429
- Southern Tennessee Regional Health System Winchest · Winchester $13,087
- Parkwest Medical Center · Knoxville $13,222
- Ascension Saint Thomas Hospital · Nashville $13,288
- Physicians Regional Medical Center · Powell $13,846
- Dekalb Community Hospital · Smithville $13,948
- Morristown Hamblen Hospital Association · Morristown $13,961
- Tennova Healthcare-Jefferson Memorial Hospital · Jefferson City $14,012
Insurance negotiated median for the same procedure, sorted lowest first.