Hip or knee replacement (inpatient stay)
Facility: Highpoint Health-Riverview With Ascension Saint Th
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $25,912 compared to the $20,237 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.28× fair market pricing.
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 $20,237 (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 $20,237. 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
- Ascension Saint Thomas Hospital · Nashville $12,192
- Southern Tennessee Regional Health System Winchest · Winchester $13,087
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $13,369
- Physicians Regional Medical Center · Powell $13,846
- Dekalb Community Hospital · Smithville $13,948
- Tennova Healthcare-Jefferson Memorial Hospital · Jefferson City $14,012
- Parkwest Medical Center · Knoxville $14,057
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Highpoint Health-Riverview With Ascension Saint Th (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $30,121
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $30,121).
Self-Pay Cash Rate ($27,051) Beats Your Bill
Highpoint Health-Riverview With Ascension Saint Th's published 45 CFR § 180 self-pay cash rate is $27,051 (vs. $25,912 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $20,237 Fair BaseRate ($14,044 Medicare)
Your bill ($82,977) is $62,740 above the denoised Fair BaseRate ($20,237) and 5.9× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.