CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Princeton Community Hospital Assn Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,451

about 1.2× the $14,044 Medicare rate · typically $13,694–$18,235

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,455

Below the fair price — a good deal

about $1,996 under the fair price · 1.0× Medicare

Medicare pays $14,044 Fair price $16,451 This hospital $14,455

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $12,264 Priciest $14,837

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

A fair price for a Hip or knee replacement (inpatient stay) is about $16,451 (about 1.2× the $14,044 Medicare rate). Princeton Community Hospital Assn Inc charges insurers about $14,455 — below the fair price — a good deal. Located in Princeton, WV.

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	$15,756	112%
Blue Cross Blue Shieldmajor	$13,737 - $43,938	98%
Aetnamajor	$11,972 - $15,178	85%
Humanamajor	$15,178	108%
Sentara	$28,446	203%
+ 2 smaller / regional plans	$13,083 - $13,933

Government programs also on file: Medicare, Medicaid.

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 Princeton Community Hospital Assn Inc 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 Princeton Community Hospital Assn Inc

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

St Marys Medical Center · Huntington $12,264
Charleston Area Medical Center · Charleston $12,323
Raleigh General Hospital · Beckley $13,282
Vandalia Health Broaddus Hospital · Philippi $13,901
Weirton Medical Center, Inc · Weirton $13,924
Reynolds Memorial Hospital, Inc · Glen Dale $14,581
Camden Clark Medical Center · Parkersburg $14,781
Berkeley Medical Center · Martinsburg $14,837

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