CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Josephs Community Hospital West Bend

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$33,350
about 2.4× the $14,044 Medicare rate · typically $16,609–$37,741
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,318
About the fair price
about $1,968 over the fair price · 2.5× Medicare
Medicare pays $14,044 Fair price $33,350 This hospital $35,318

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $13,222 Priciest $35,318

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

A fair price for a Hip or knee replacement (inpatient stay) is about $33,350 (about 2.4× the $14,044 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $35,318 — about the fair price. Located in West Bend, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,717 - $56,833 98%
Blue Cross Blue Shieldmajor $13,717 - $60,033 98%
Aetnamajor $13,992 100%
Humanamajor $13,717 98%
Health Net $42,667 304%
HealthPartners $13,717 - $39,299 98%
Molina $13,717 98%
Security Health Plan $13,717 98%
+ 9 smaller / regional plans $13,717 - $50,549

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals