CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence Centralia Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,464

about 1.5× the $14,044 Medicare rate · typically $18,956–$27,428

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,809

Below the fair price — a good deal

about $2,655 under the fair price · 1.3× Medicare

Medicare pays $14,044 Fair price $21,464 This hospital $18,809

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $11,313 Priciest $20,671

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

A fair price for a Hip or knee replacement (inpatient stay) is about $21,464 (about 1.5× the $14,044 Medicare rate). Providence Centralia Hospital charges insurers about $18,809 — below the fair price — a good deal. Located in Centralia, WA.

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✓ Humana✓ Kaiser Permanente Cigna

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	$18,226	130%
Blue Cross Blue Shieldmajor	$17,715 - $62,179	126%
Aetnamajor	$17,545 - $101,817	125%
Humanamajor	$18,737	133%
Kaiser Permanentemajor	$17,034 - $18,809	121%
Amerigroup	$18,737	133%
Molina	$18,396 - $28,787	131%
+ 2 smaller / regional plans	$27,254 - $31,513

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Providence Centralia Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Providence Centralia Hospital

Compare: Hip or knee replacement (inpatient stay) at other WA hospitals

Prosser Memorial Hospital · Prosser $11,313
Island Hospital · Anacortes $15,159
Trios Health · Kennewick $15,607
Valley Medical Center · Renton $17,979
Providence St Mary Medical Center · Walla Walla $18,017
Kadlec Regional Medical Center · Richland $19,278
Shriners Hospital for Children · Spokane $19,823
Legacy Salmon Creek Medical Center · Vancouver $20,671

Insurance negotiated median for the same procedure, sorted lowest first.