CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Thedacare Regional Medical Center - Appleton Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,795
about 1.3× the $14,044 Medicare rate · typically $11,818–$26,509
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,348
Below the fair price — a good deal
about $5,447 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $18,795 This hospital $13,348 Cash price $23,505 Hospital's list price $41,973

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 7 of 8 other WI hospitals charge more for the same procedure.

Cheapest $13,222 Priciest $15,279

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 $18,795 (about 1.3× the $14,044 Medicare rate). Thedacare Regional Medical Center - Appleton Inc charges insurers about $13,348, or about $23,505 in cash — below the fair price — a good deal. Located in Appleton, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $13,348 95%
Blue Cross Blue Shieldmajor $13,318 - $33,828 95%
Humanamajor $8,640 62%
HealthPartners $20,175 144%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1818 N Meade St, Appleton, WI 54911
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals