CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Bellin Health Oconto Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,897
about 1.8× the $14,044 Medicare rate · typically $15,219–$42,511
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,771
About the fair price
about $1,126 under the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $25,897 This hospital $24,771

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 $24,771

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 $25,897 (about 1.8× the $14,044 Medicare rate). Bellin Health Oconto Hospital charges insurers about $24,771 — about the fair price. Located in Oconto, WI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 $1,622 12%
Humanamajor $1,622 12%
+ 4 smaller / regional plans $1,622 - $24,771

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Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals