CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: El Paso Children's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,968
about 1.2× the $14,044 Medicare rate · typically $9,676–$27,274
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,316
Above the fair price
about $5,348 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $16,968 This hospital $22,316

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $22,316

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $16,968 (about 1.2× the $14,044 Medicare rate). El Paso Children's Hospital charges insurers about $22,316 — above the fair price. Located in El Paso, TX.

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 $16,968. 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.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $22,316 - $36,484 159%
Health Net $22,093 157%
Molina $36,484 260%
+ 1 smaller / regional plan $20,085

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.

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Facility Profile & Credentials

  • Address: 4845 Alameda Avenue, El Paso, TX 79905
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens