CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Dekalb Community Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,561
about 1.2× the $14,044 Medicare rate · typically $14,105–$22,931
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,948
Below the fair price — a good deal
about $2,613 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $16,561 This hospital $13,948

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 6 of 8 other TN hospitals charge less.

Cheapest $7,429 Priciest $14,012

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 $16,561 (about 1.2× the $14,044 Medicare rate). Dekalb Community Hospital charges insurers about $13,948 — below the fair price — a good deal. Located in Smithville, TN.

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 $11,485 - $15,974 82%
Blue Cross Blue Shieldmajor $6,156 - $51,663 44%
Aetnamajor $13,768 - $43,688 98%
Cignamajor $8,001 - $26,957 57%
Humanamajor $13,498 96%
Ambetter (Centene) $17,547 125%
Amerigroup $7,610 - $13,498 54%
Cigna HealthSpring $13,498 96%
Oscar Health $8,394 - $8,436 60%
+ 7 smaller / regional plans $8,944 - $27,839
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals