Hip or knee replacement (inpatient stay)
Facility: Highpoint Health-Riverview With Ascension Saint Th
Billing Code: 470 (MS-DRG)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $19,072 (about 1.4× the $14,044 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $25,912, or about $27,051 in cash — above the fair price. Located in Carthage, TN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,072. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $2,060 - $2,990 | 15% |
| Blue Cross Blue Shieldmajor | $2,060 - $27,000 | 15% |
| Aetnamajor | $2,060 | 15% |
| Cignamajor | $2,287 | 16% |
| Humanamajor | $2,060 | 15% |
| Amerigroup | $2,060 | 15% |
| Cigna HealthSpring | $2,060 | 15% |
| WellCare | $2,060 | 15% |
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-Riverview With Ascension Saint Th
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
- Physicians Regional Medical Center · Powell $13,846
- Dekalb Community Hospital · Smithville $13,948
- Morristown Hamblen Hospital Association · Morristown $13,961
Insurance negotiated median for the same procedure, sorted lowest first.