Hip or knee replacement (inpatient stay)
Facility: Physicians Regional Medical Center
Billing Code: 470 (MS-DRG)
A typical price — 3 charge more and 5 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 $14,787 (about 1.1× the $14,044 Medicare rate). Physicians Regional Medical Center charges insurers about $13,846 — about the fair price. Located in Powell, 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 | $1,459 - $15,250 | 10% |
| Blue Cross Blue Shieldmajor | $7,899 - $35,463 | 56% |
| Aetnamajor | $13,846 - $18,446 | 99% |
| Humanamajor | $13,412 - $13,444 | 95% |
| Ambetter (Centene) | $26,672 | 190% |
| Amerigroup | $7,422 - $14,114 | 53% |
| Cigna HealthSpring | $13,846 | 99% |
| Devoted Health | $14,446 | 103% |
| WellCare | $14,196 | 101% |
| + 6 smaller / regional plans | $12,283 - $26,672 |
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 Physicians Regional Medical Center
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
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $13,369
- 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.