CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Raleigh General Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,460

about 1.2× the $14,044 Medicare rate · typically $13,239–$19,240

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,282

Below the fair price — a good deal

about $3,178 under the fair price · 0.9× Medicare

Medicare pays $14,044 Fair price $16,460 This hospital $13,282 Cash price $21,735 Hospital's list price $54,336

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 6 of 8 other WV hospitals charge more for the same procedure.

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 $16,460 (about 1.2× the $14,044 Medicare rate). Raleigh General Hospital charges insurers about $13,282, or about $21,735 in cash — below the fair price — a good deal. Located in Beckley, 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	$13,282	95%
Blue Cross Blue Shieldmajor	$13,282 - $33,425	95%
Aetnamajor	$13,282	95%
Humanamajor	$13,282	95%
CareSource	$27,892	199%
+ 5 smaller / regional plans	$10,456 - $28,543

Government programs also on file: Medicare, Military & VA.

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 (about 21,735), 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 Raleigh General 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 Raleigh General Hospital

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
Vandalia Health Broaddus Hospital · Philippi $13,901
Weirton Medical Center, Inc · Weirton $13,924
Princeton Community Hospital Assn Inc · Princeton $14,455
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.