Centers for Knee and Hip Replacement Directory of Providers

Updated: July 14, 2021

Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. Blue Distinction® Centers for Knee and Hip Replacement

Your Participating Provider Directory

This Provider Directory is your guide to providers that have been designated as Blue Distinction Centers or Blue Distinction Centers+. We are continually updating this list. If you do not see a particular healthcare provider listed, need additional information regarding a provider or have any questions about your specific benefits, please call the customer service number on the back of your identification card.

A provider’s participation in the program is subject to change. To verify this information, please contact the provider before you receive medical services.

If this is an emergency, please proceed to the nearest healthcare provider with an emergency department.

Blue Distinction Centers

When it comes to your health and healthcare, the choices you make matter. Blue Distinction Centers can help you and your doctor have a better informed discussion about finding the right provider for the specific procedure you need.

Blue Distinction® Center for Knee and Hip Replacement recognize facilities that perform total knee and hip replacement surgeries – safely, effectively, and cost-efficiently. To keep pace with the changing market, designations for the Knee and Hip Replacement program will now be available to both hospitals and ambulatory surgery centers (ASC).

Blue Distinction Centers The Blue Distinction Center program was developed with input from the medical community and evaluates providers on their ability to deliver high quality and safe specialty care based on criteria that directly impact patient results – e.g., surgical team expertise and a history of better outcomes for patients.

Blue Distinction Centers+ Blue Distinction Centers+ not only meet the same quality criteria as Blue Distinction Centers, but they also go a step further. Providers receiving a Blue Distinction Center+ designation are also measured on how efficiently they deliver this high-quality patient care.

To see a list of the specific selection criteria used to evaluate hospitals for the Blue Distinction Centers for Knee and Hip Replacement recognition, please visit www.bcbs.com/bluedistinction.

*This hospital indicated voluntarily that Radiologists, Anesthesiologists, Pathologists, Hospitalists, and Intensivists who provide services for elective (scheduled) procedures related to this Blue Distinction® Specialty Care program are in the local Plan’s BlueCard PPO network.

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 1 - 56 Blue Distinction® Centers for Knee and Hip Replacement

Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

ALABAMA

Athens Limestone Hospital* Athens Hospital 

Baptist Medical Center South Montgomery Hospital 

Flowers Hospital* Dothan Hospital 

Helen Keller Hospital Sheffield Hospital 

Jack Hughston Memorial Hospital Phenix City Hospital 

Jackson Hospital* Montgomery Hospital 

Marshall Medical Center South Boaz Hospital 

Medical Center Enterprise Enterprise Hospital 

Mobile Infirmary Medical Center Mobile Hospital 

Providence Hospital Mobile Hospital 

Riverview Regional Medical Center Gadsden Hospital  

South Baldwin Regional Med Center Foley Hospital 

Southeast Alabama Medical Center Dothan Hospital 

Springhill Medical Center* Mobile Hospital 

Thomas Hospital Fairhope Hospital 

ALASKA

Providence Alaska Medical Center Anchorage Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 2 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

ARKANSAS

Mercy Hospital Fort Smith Fort Smith Hospital 

St Bernards Medical Center Jonesboro Hospital 

University Hospital of Arkansas* Little Rock Hospital 

ARIZONA

Abrazo Arrowhead Campus* Glendale Hospital  

Chandler Regional Medical Center Chandler Hospital 

Flagstaff Medical Center Flagstaff Hospital 

Honorhealth Deer Valley Medical Center Phoenix Hospital 

Honorhealth John C Lincoln Medical Center Phoenix Hospital 

Honorhealth Scottsdale Osborn Medical Center Scottsdale Hospital 

Mayo Clinic Hospital Phoenix Hospital 

Mercy Gilbert Medical Center Gilbert Hospital 

Tucson Medical Center Tucson Hospital   CALIFORNIA

Adventist Health Bakersfield Bakersfield Hospital  

Adventist Health Frank R Howard Memorial Willits Hospital 

Adventist Health Hanford Hanford Hospital 

Adventist Medical Center Hanford Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 3 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

Alta Bates Summit Medical Center Summit Oakland Hospital Campus 

Alta Bates Summit Medical Center-Alta Berkeley Hospital Bates/Herrick Campus 

Bakersfield Heart Hospital Bakersfield Hospital  

Bakersfield Memorial Hospital Bakersfield Hospital  

South Lake Barton Memorial Hospital Hospital Tahoe  

Casa Colina Hospital and Centers for Healthcare Pomona Hospital  

Clovis Community Hospital Clovis Hospital 

Community Hospital of The Monterey Peninsula Monterey Hospital 

Community Medical Center Fresno Fresno Hospital 

Dameron Hospital Association Stockton Hospital  

Desert Regional Medical Center Palm Springs Hospital 

Doctors Hospital of Manteca Inc Manteca Hospital 

Eden Medical Center Castro Valley Hospital 

El Camino Hosp Mountain View Hospital 

El Camino Hospital Los Gatos Los Gatos Hospital  

Eisenhower Medical Center Rancho Mirage Hospital  

Enloe Medical Center Inc Chico Hospital  

Fountain Valley Regional Hospital and Medical Fountain Valley Hospital Center 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 4 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

French Hospital Medical Center San Luis Obispo Hospital  

Goleta Valley Cottage Hospital Santa Barbara Hospital 

Good Samaritan Hospital Los Angeles Hospital 

Good Samaritan Hospital San Jose Hospital  

Grossmont Hospital Corporation La Mesa Hospital 

Henry Mayo Newhall Memorial Hospital Valencia Hospital 

Huntington Memorial Hospital Pasadena Hospital  

John F Kennedy Memorial Hospital Indio Hospital 

John Muir Medical Center Concord Campus Concord Hospital  

John Muir Medical Center Walnut Creek Campus Walnut Creek Hospital  

Kaweah Delta Medical Center Visalia Hospital  

Keck Hospital of USC Los Angeles Hospital 

Lodi Memorial Hospital Lodi Hospital 

Lompoc Valley Medical Center Lompoc Hospital 

Long Beach Memorial Medical Center Long Beach Hospital 

Los Robles Regional Med Ctr Thousand Oaks Hospital  

Marina Del Rey Hospital Marina Del Rey Hospital  

Marian Regional Medical Center Santa Maria Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 5 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

Mercy General Hospital Sacramento Hospital 

Mercy Hospital of Bakersfield Bakersfield Hospital 

Mercy Medical Center Merced Merced Hospital  

Mercy Medical Center Redding Redding Hospital  

Mercy San Juan Medical Center Carmichael Hospital  

Mercy San Juan Medical Center Fremont Hospital 

Methodist Hospital of Sacramento Sacramento Hospital  

Methodist Hospital of Southern California Arcadia Hospital  

Mills Peninsula Medical Center* Burlingame Hospital 

Mission Hospital Regional Medical Center* Mission Viejo Hospital  

Northridge Hospital Medical Center Northridge Hospital  

Novato Community Hospital Novato Hospital 

Orange Coast Memorial Medical Center Fountain Valley Hospital  

Palmdale Regional Medical Center* Palmdale Hospital  

Palomar Medical Center Escondido Hospital 

PIH Health Hospital Whittier Whittier Hospital  

Placentia Linda Hospital Placentia Hospital  

Pomona Valley Hospital Medical Center Pomona Hospital 

Providence Little Co of Mary Med Ctr Torrance Torrance Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 6 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

Providence Tarzana Medical Center Tarzana Hospital 

Providence Holy Cross Medical Center Mission Hills Hospital  

Providence Saint Johns Health Center Santa Monica Hospital  

Providence Saint Joseph Medical Center Burbank Hospital  

Queen of The Valley Medical Center Napa Hospital  

Redlands Community Hospital Redlands Hospital  

Saddleback Memorial Medical Center Laguna Hills Hospital  

Saint Agnes Medical Center Fresno Hospital  

San Antonio Regional Hospital Upland Hospital  

San Joaquin Comm Hosp Bakersfield Hospital 

San Ramon Regional Medical Center San Ramon Hospital  

Santa Barbara Cottage Hospital Santa Barbara Hospital 

Santa Monica UCLA Medical Center Santa Monica Hospital  

Santa Rosa Memorial Hospital Santa Rosa Hospital  

Scripps Green Hospital La Jolla Hospital 

Scripps Memorial Hospital La Jolla La Jolla Hospital 

Sequoia Hospital* Redwood City Hospital 

Sharp Coronado Hospital & Healthcare Center Coronado Hospital 

Sharp Memorial Hospital San Diego Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 7 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

Shasta Regional Medical Center* Redding Hospital 

Simi Valley Hospital and Health Care Services Simi Valley Hospital 

St Elizabeth Community Hospital Red Bluff Hospital 

St Francis Memorial Hospital San Francisco Hospital 

St Helena Hosp Saint Helena Hospital 

St Johns Pleasant Valley Hospital Camarillo Hospital 

St John’s Regional Medical Center Oxnard Hospital  

St Joseph Hospital Eureka Hospital 

St Joseph Hospital Orange Orange Hospital 

St Joseph’s Medical Center of Stockton Stockton Hospital 

St Jude Medical Center Fullerton Hospital  

St Mary Medical Center Apple Valley Hospital 

Stanford Health Care Palo Alto Hospital  

Stanford Health Care Valleycare Pleasanton Hospital  

Sutter Medical Center Sacramento Sacramento Hospital 

Sutter Roseville Medical Center* Roseville Hospital 

Sutter Santa Rosa Regional Hospital Santa Rosa Hospital 

Sutter Surgical Hospital - North Valley Yuba City Hospital 

Sutter Tracy Community Hospital Tracy Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 8 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CALIFORNIA (cont’d)

Tahoe Forest Hospital District Truckee Hospital 

Temecula Valley Hospital* Temecula Hospital 

Torrance Memorial Medical Center Torrance Hospital  

Tri City Medical Center Oceanside Hospital 

Twin Cities Community Hospital Templeton Hospital 

Twin Cities Community Hospital Inc Templeton Hospital  

UC Irvine Medical Center* Orange Hospital 

UCSF Medical Center San Francisco Hospital 

Washington Hospital Carmichael Hospital 

Washington Hospital Fremont Hospital 

Woodland Memorial Hospital Woodland Hospital  COLORADO

Centura Ortho Colorado at St Anthony Medical Lakewood Hospital Campus  

McKee Medical Center Loveland Hospital 

Medical Center of The Rockies Loveland Hospital 

North Colorado Medical Center* Greeley Hospital 

Penrose St Francis Healthcare Colorado Springs Hospital  

Poudre Valley Hospital Fort Collins Hospital 

Presbyterian St Lukes Medical Center Denver Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 9 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

COLORADO (cont’d)

Rose Medical Center* Denver Hospital  

Sky Ridge Medical Center Lone Tree Hospital 

St Anthony Hospital Lakewood Hospital 

St Anthony Hospital North Westminster Hospital 

St Anthony Summit Medical Center Frisco Hospital 

Swedish Medical Center Englewood Hospital  

University Hospital Aurora Hospital   CONNECTICUT

Bristol Hospital* Bristol Hospital 

Day Kimball Hospital Putnam Hospital  

Griffin Hospital Derby Hospital  

Hartford Hospital Hartford Hospital  

Hospital of Central CT New Britain Hospital  

John Dempsey Hospital* Farmington Hospital  

Lawrence and Memorial Hospital* New London Hospital  

Midstate Medical Center Meriden Hospital  

Norwalk Hospital Norwalk Hospital 

St Francis Hospital & Medical Center Hartford Hospital  

St Marys Hospital Corporation Waterbury Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 10 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

CONNECTICUT (cont’d)

William W Backus Hospital Norwich Hospital  

Windham Community Memorial Hospital Willimantic Hospital   DISTRICT OF COLUMBIA

George Wash Univ Washington Hospital 

Georgetown Univ Washington Hospital 

Washington Hospital Center Washington Hospital  DELAWARE

Christiana Care Health Services Wilmington Hospital  

Milford Memorial Hospital* Milford Hospital  

Nanticoke Memorial Hospital Seaford Hospital  

St Francis Hospital Inc Wilmington Hospital  FLORIDA

Adventhealth Daytona Beach Daytona Beach Hospital 

Adventhealth Deland Deland Hospital 

Adventhealth Fish Memorial Orange City Hospital 

AdventHealth Heart of Florida Davenport Hospital  

New Smyrna Adventhealth New Smyrna Beach Hospital Beach 

Adventhealth Palm Coast Palm Coast Hospital 

AdventHealth Tampa Tampa Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 11 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

FLORIDA (cont’d)

Adventhealth Waterman Tavares Hospital  

Baptist Hospital of Miami Inc Miami Hospital 

Baptist Hospital Pensacola Pensacola Hospital  

Baptist Med Ctr - Bch Dunedin Hospital  

Fernandina Baptist Medical Center Nassau Hospital Beach 

Bayfront Health Seven Rivers Crystal River Hospital  

Bayfront Health Punta Gorda Punta Gorda Hospital  

Blake Medical Center Bradenton Hospital  

Brandon Regional Hospital Brandon Hospital  

Broward Health Medical Center Fort Lauderdale Hospital  

Broward Health North Pompano Beach Hospital  

Cape Canaveral Hospital Cocoa Beach Hospital 

Capital Regional Medical Center Tallahassee Hospital  

Cleveland Clinic Indian River Hospital Vero Beach Hospital  

Cleveland Clinic Martin South Hospital Stuart Hospital  

Coral Gables Hospital, Inc. Coral Gables Hospital 

Doctors Hospital of Sarasota Sarasota Hospital  

Fawcett Memorial Hospital Port Charlotte Hospital  

Flagler Hospital Saint Augustine Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 12 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

FLORIDA (cont’d)

Fort Walton FT Walton Beach Medical Ctr Hospital Beach 

Gulf Breeze Gulf Breeze Hospital Hospital Hospital 

Halifax Medical Center Daytona Beach Hospital  

Holmes Regional Medical Center Melbourne Hospital 

Holy Cross Hospital* Fort Lauderdale Hospital  

JFK Medical Center Atlantis Hospital  

Jupiter Medical Center Jupiter Hospital  

Lakewood Ranch Medical Center* Lakewood Ranch Hospital  

Mayo Clinic Florida Hospital* Jacksonville Hospital  

Mease Countryside Hospital Safety Harbor Hospital 

Mease Dunedin Hospital Dunedin Hospital 

Memorial Hospital West Pembroke Pines Hospital  

Memorial Regional Hospital Hollywood Hospital  

Mercy Hospital Miami Hospital 

Morton Plant North Bay Hospital New Port Richey Hospital 

Mount Sinai Medical Center Miami Beach Hospital 

Ocala Regional Medical Center Ocala Hospital  

Naples Community Hospital Naples Hospital  

Orange Park Medical Center Orange Park Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 13 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

FLORIDA (cont’d)

Orlando Health Central Ocoee Hospital 

Orlando Health South Lake Hospital Clermont Hospital  

Osceola Regional Medical Center Kissimmee Hospital 

Palm Beach Palm Beach Gardens Medical Center Hospital Gardens  

Physicians Regional Medical Center - Collier Blvd Naples Hospital  

Putnam Community Medical Center Palatka Hospital 

Shands and University of Florida Health Care Gainesville Hospital Ntwk  

South Florida Baptist Hospital Plant City Hospital  

Tallahassee Memorial Healthcare Inc Tallahassee Hospital  

Tampa General Hospital Tampa Hospital  

West Marion Community Hospital Ocala Hospital 

Winter Haven Hospital, Inc. Winter Haven Hospital  GEORGIA

Cartersville Medical Center Cartersville Hospital 

Coliseum Northside Hospital Macon Hospital  

DeKalb Medical Center Decatur Hospital  

Eastside Medical Center Snellville Hospital 

Emory Johns Creek Hospital Duluth Hospital  

Emory Saint Joseph's Hospital Atlanta Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 14 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

GEORGIA (cont’d)

Emory University Hospital Atlanta Hospital  

Fairview Park Hospital Dublin Hospital 

Northeast Georgia Medical Center, Inc Gainesville Hospital 

Northside Hospital - Cherokee Canton Hospital  

Northside Hospital Forsyth Cumming Hospital 

Phoebe Putney Memorial Hospital* Albany Hospital 

Piedmont Henry Hospital Stockbridge Hospital 

St Francis Hospital Inc Columbus Hospital  

Tanner Medical Center Carrollton Hospital 

Tift Regional Medical Center Tifton Hospital 

University Hospital Augusta Hospital  

Wellstar Douglas Hospital* Douglasville Hospital  HAWAII

Castle Medical Center Kailua Hospital  

Straub Clinic &Hospital Honolulu Hospital 

Wilcox Memorial Hospital Lihue Hospital   IDAHO

Bingham Memorial Hospital Blackfoot Hospital  

Eastern Idaho RMC Idaho Falls Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 15 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

IDAHO (cont’d)

Northwest Specialty Hospital Post Falls Hospital  

Saint Alphonsus Medical Center Nampa Nampa Hospital 

St Joseph RMC Lewiston Hospital  

St Lukes Magic Valley RMC Twin Falls Hospital 

St Lukes Regional Medical Center Boise Hospital  ILLINOIS

Adventist Bolingbrook Hospital Bolingbrook Hospital 

Adventist Hinsdale Hospital Hinsdale Hospital 

Adventist Lagrange Memorial Hosp La Grange Hospital 

Advocate Good Shepherd Hospital Barrington Hospital  

Advocate Illinois Masonic Med Center Chicago Hospital 

Advocate Lutheran General Hospital Park Ridge Hospital  

Advocate Sherman Hospital Elgin Hospital  

Advocate South Suburban Hospital Hazel Crest Hospital 

Advocate Trinity Hospital Chicago Hospital  

Alexian Brothers Medical Center Elk Grove Village Hospital  

Amita Saint Joseph Medical Center Joliet Hospital 

Blessing Hospital Quincy Hospital 

Carle Bromenn Medical Center Normal Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 16 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

ILLINOIS (cont’d)

Carle Foundation Hospital Urbana Hospital 

Central DuPage Hospital Winfield Hospital 

Decatur Memorial Hospital Decatur Hospital  

Delnor Community Hospital Geneva Hospital 

Edward Hospital Naperville Hospital  

Elmhurst Mem Hospital Main Campus Elmhurst Hospital 

Gateway Regional Medical Center Granite City Hospital 

Gold Coast Surgicenter LLC Chicago Hospital 

Gottlieb Memorial Hospital Jacksonville Hospital  

Gottlieb Memorial Hospital Melrose Park Hospital  

Holy Cross Hospital Chicago Hospital 

Ingalls Memorial Hospital Harvey Hospital  

Memorial Hosp of Carbondale* Carbondale Hospital 

Memorial Medical Center Springfield Hospital 

Northshore Skokie Hospital Skokie Hospital 

Northwest Community Hospital* Arlington Heights Hospital  

Northwestern Memorial Hospital Chicago Hospital 

Passavant Memorial Area Hosp Jacksonville Hospital 

Pekin Hospital Pekin Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 17 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

ILLINOIS (cont’d)

Presence Resurrection Med Ctr Chicago Hospital 

Presence St Francis Hospital Evanston Hospital 

Presence St Joseph Hosp Chicago Chicago Hospital 

Presence St Joseph Hosp Elgin Elgin Hospital 

Presence St Marys Hospital Kankakee Hospital 

Riverside Medical Center Kankakee Hospital  

St Alexius Medical Center Hoffman Estates Hospital  

St Anthonys Memorial Hosp Effingham Hospital 

St Elizabeths Hospital O’Fallan Hospital 

St James Hospital Pontiac Hospital 

St Johns Hospital Springfield Hospital  

St Marys Hospital Decatur Hospital  

Swedish Covenant Hospital Chicago Hospital  

Unitypoint Health - Methodist Peoria Hospital 

Unity Point Health - Proctor Peoria Hospital 

The University of IL Medical Ctr Chicago Hospital 

University of Chicago Medical Cen* Chicago Hospital  

Vista Medical Center East Waukegan Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 18 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

INDIANA

Columbus Regional Hospital Columbus Hospital 

Community Hospital Munster Hospital  

Community Hospitals Indiana Inc Indianapolis Hospital 

Community Howard Regional Health Kokomo Hospital 

DuPont Hospital Fort Wayne Hospital  

Franciscan Health Indianapolis Indianapolis Hospital 

Elkhart General Hospital* Elkhart Hospital 

Franciscan Health Indianapolis Indianapolis Hospital 

Franciscan Health Mooresville Mooresville Hospital 

Good Samaritan Hospital Vincennes Hospital 

Henry Community Health New Castle Hospital  

Indiana University Health Arnett Hospital Inc La Fayette Hospital  

Indiana University Health Ball Memorial Hospital Muncie Hospital  

Indiana University Health Bloomington Hospital Bloomington Hospital 

Indiana University Health North Hospital Carmel Hospital 

Indiana University Health Tipton Hospital Tipton Hospital 

Lutheran Hospital of Indiana Fort Wayne Hospital 

Major Hospital Shelbyville Hospital 

Memorial Hospital* South Bend Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 19 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

INDIANA (cont’d)

Memorial Hospital and Health Care Center Jasper Hospital  

Orthoindy Hospital Indianapolis Hospital  

Porter Regional Hospital Valparaiso Hospital  

Schneck Medical Center Seymour Hospital  

St Vincent Hospital Health Indianapolis Hospital 

The Orthopaedic Hospital Fort Wayne Hospital   IOWA

Alegent Health Mercy Hospital Council Bluffs Hospital  

Allen Memorial Hospital Waterloo Hospital  

Finley Hospital Dubuque Hospital 

Genesis Medical Center East Davenport Hospital 

Mary Greeley Medical Center Ames Hospital 

Mercy Hospital Iowa City Hospital 

MercyOne Cedar Falls Medical Center Cedar Falls Hospital  

MercyOne North Iowa Medical Center Mason City Hospital  

MercyOne Siouxland Medical Center Sioux City Hospital 

MercyOne Waterloo Medical Center Waterloo Hospital  

MercyOne West Des Moines Medical Center West Des Moines Hospital  

Methodist West Hospital* West Des Moines Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 20 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

IOWA (cont’d)

Ottumwa Regional Health Center Ottumwa Hospital  

Pella Regional Health Center Pella Hospital  

St Lukes Methodist Hospital Cedar Rapids Hospital  

University of Iowa Hospital and Clinics Iowa City Hospital   KANSAS

AdventHealth Ottawa Ottawa Hospital 

AdventHealth Shawnee Mission* Shawnee Hospital  

Ascension Via Christi Hospitals Wichita, Inc. Wichita Hospital  

Ascension Via Christi St. Teresa Wichita Hospital 

Hutchinson Regional Medical Center Hutchinson Hospital  

Kansas Surgery & Recovery Center Wichita Hospital  

Labette County Medical Center Parsons Hospital  

Newton Medical Center Newton Hospital  

Overland Park Regional Medical Center Overland Park Hospital  

Stormont-Vail Hospital* Topeka Hospital  

University of Kansas Hospital Kansas City Hospital  

University of Kansas Health Sys - St Francis Topeka Hospital  

Wesley Medical Center Wichita Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 21 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

KENTUCKY

Baptist Health Lexington Lexington Hospital  

Baptist Health Louisville Louisville Hospital  

Baptist Health Madisonville Madisonville Hospital  

Flaget Memorial Hospital Bardstown Hospital  

Hardin Memorial Hospital Elizabethtown Hospital  

Owensboro Health Regional Hospital Owensboro Hospital  

Saint Joseph Hospital Lexington Hospital  

Saint Joseph London London Hospital 

Saint Joseph Mount Sterling Mount Sterling Hospital 

UK Healthcare Hospitals Lexington Hospital  

LOUISIANA

Christus Ochsner St Patrick Hospital Lake Charles Hospital  

Lafayette General Medical Center La Fayette Hospital  

Ochsner Medical Center at Baton Rouge Baton Rouge Hospital 

Ochsner Medical Center Kenner Kenner Hospital 

Ochsner Medical Center Northshore Slidell Hospital 

Opelousas General Health System* Opelousas Hospital  

Our Lady of Lourdes Regional Medical Center* La Fayette Hospital  

Our Lady of The Lake Regional Medical Center Baton Rouge Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 22 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

LOUISIANA (cont’d)

Park Place Surgical Hospital Lafayette Hospital  

St. Tammany Parish Hospital Covington Hospital  

Thibodaux Regional Health System* Thibodaux Hospital  

Touro Infirmary New Orleans Hospital  

Tulane University Hospital and Clinic New Orleans Hospital  

Willis Knighton Piermont Health Center Shreveport Hospital  

Willis-Knighton Bossier Health Center Bossier City Hospital   MAINE

Central Maine Medical Center Lewiston Hospital  

Maine Coast Memorial Hospital Ellsworth Hospital 

Maine General Medical Center Augusta Hospital 

Maine Medical Center Portland Hospital  

Mercy Hospital Portland Hospital  

Mid Coast Hospital Brunswick Hospital 

Southern Maine Health Care* Biddeford Hospital   MARYLAND

Anne Arundel Medical Center* Annapolis Hospital  

Carroll Hospital Center Westminster Hospital  

Frederick Health Hospital Frederick Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 23 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MARYLAND (cont’d)

Frederick Memorial Hospital Frederick Hospital  

Greater Baltimore Medical Center Baltimore Hospital 

Harford Memorial Hospital Havre De Grace Hospital 

Holy Cross Germantown Hospital* Germantown Hospital 

Medstar Southern MD Hospital Center Clinton Hospital  

Montgomery General Hospital Olney Hospital  

Northwest Hospital Center Randallstown Hospital  

Sinai Hospital of Baltimore Baltimore Hospital 

St Marys Hospital Leonardtown Hospital  

Suburban Hospital Bethesda Hospital  

Tidalhealth Peninsula Regional Inc Salisbury Hospital  

Union Memorial Hospital Baltimore Hospital  

University of MD St Joseph Medical Center Towson Hospital  

Upper Chesapeake Medical Center Bel Air Hospital  

Western MD Regional Medical Center Cumberland Hospital   MASSACHUSETTS

Baystate Medical Center Springfield Hospital 

Berkshire Medical Center Pittsfield Hospital 

Beth Israel Deaconess Hospital - Plymouth Plymouth Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 24 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MASSACHUSETTS (cont’d)

Brigham and Women's Faulkner Hospital Boston Hospital 

Cooley Dickinson Hospital Northampton Hospital  

Holy Family Hospital* Methuen Hospital  

Lowell General Hospital Lowell Hospital  

Massachusetts General Hospital Boston Hospital  

Metrowest Medical Center* Framingham Hospital  

Mount Auburn Hospital Cambridge Hospital  

New England Baptist Hospital Boston Hospital  

Newton-Wellesley Hospital* Newton Hospital 

North Shore Medical Center Salem Hospital 

Saint Anne's Hospital Fall River Hospital 

Saint Vincent Hospital Worcester Hospital  

Signature Healthcare Brockton Hospital Brockton Hospital  

Tufts Medical Center Boston Hospital 

UMASS Memorial Medical Center Worcester Hospital  MICHIGAN

Ascension Crittenton Rochester Rochester Hills Hospital  

Ascension Providence Hospital-Novi Novi Hospital 

Ascension St John Hospital* Detroit Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 25 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MICHIGAN (cont’d)

Ascension St. Joseph Hospital Tawas City Hospital  

Beaumont Hospital - Dearborn Dearborn Hospital 

Beaumont Hospital - Farmington Hills Farmington Hills Hospital 

Beaumont Hospital - Grosse Pointe Grosse Pointe Hospital 

Beaumont Hospital - Taylor Taylor Hospital  

Beaumont Hospital – Trenton* Trenton Hospital  

Beaumont Hospital - Troy Troy Hospital  

Beaumont Hospital - Wayne Wayne Hospital 

Borgess Medical Center Kalamazoo Hospital 

Bronson Battle Creek Battle Creek Hospital 

Bronson Methodist Hospital* Kalamazoo Hospital  

Harper University Hospital & Hutzel Women’s Detroit Hospital Hospital 

Henry Ford Macomb Hospital Clinton Township Hospital  

Holland Hospital Holland Hospital  

Hurley Medical Center* Flint Hospital 

Commerce Huron Valley Sinai Hospital Hospital Township 

Lake Huron Medical Center Port Huron Hospital 

Lakeland Hospital at Niles & St Joseph Saint Joseph Hospital 

Marquette General Hospital Up Health Systems Marquette Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 26 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MICHIGAN (cont’d)

McLaren Bay Regional Medical Center Bay City Hospital  

McLaren Central Michigan Hospital* Mount Pleasant Hospital 

McLaren Greater Lansing Lansing Hospital  

McLaren Lapeer Regional Medical Center Lapeer Hospital  

McLaren Macomb Mount Clemens Hospital 

McLaren Port Huron Port Huron Hospital 

Memorial Health Care Center Owasso Hospital  

Mercy Health Muskegon* Muskegon Hospital 

Metro Health Hospital Wyoming Hospital 

Midmichigan Medical Center Alpena Alpena Hospital  

Midmichigan Medical Center-Gratiot Alma Hospital  

Midmichigan Medical Center-Midland Midland Hospital  

Midmichigan Medical Center West Branch West Branch Hospital  

Munson Healthcare Cadillac Hospital* Cadillac Hospital 

Munson Healthcare Grayling Hospital Grayling Hospital 

Munson Medical Center Traverse City Hospital  

North Ottawa Community Hospital Grand Haven Hospital  

ProMedica Bixby Hospital* Adrian Hospital  

ProMedica Coldwater Regional Hospital Coldwater Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 27 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MICHIGAN (cont’d)

Saint Joseph Mercy Livingston Howell Hospital 

Sparrow Hospital Lansing Hospital 

Spectrum Health Butterworth Hospital Grand Rapids Hospital 

Spectrum Health Ludington Hospital Ludington Hospital  

Spectrum Health Pennock Hastings Hospital  

Spectrum Health United Hospital Greenville Hospital 

Spectrum Health Zeeland Community Hospital Zeeland Hospital  

St Joseph Mercy Chelsea Chelsea Hospital 

St Joseph Mercy Hospital Ann Arbor Ypsilanti Hospital 

St Joseph Mercy Oakland* Pontiac Hospital 

University of Michigan Hospital Main Campus Ann Arbor Hospital  MINNESOTA

Abbott Northwestern Hospital An Allina Facility Minneapolis Hospital  

Avera Marshall Regional Medical Center Marshall Hospital  

Blaine ASC LLC (ASC) Blaine Ambulatory Surgical Center 

Buffalo Hospital Buffalo Hospital  

Cambridge Medical Center Cambridge Hospital 

Crosstown Surgery Center (ASC) Edina Ambulatory Surgical Center 

Cuyuna Regional Medical Center* Crosby Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 28 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MINNESOTA (cont’d)

District One Hospital Faribault Hospital 

Douglas County Hospital Alexandria Hospital  

Eagan Orthopedic Surgery Center LLC (ASC) Eagan Ambulatory Surgical Center 

Essentia Health St Marys Medical Center Duluth Hospital 

Fairview Lakes Regional Medical Center* Wyoming Hospital  

Fairview Northland Medical Center* Princeton Hospital 

Fairview Ridges Hospital* Burnsville Hospital  

Fairview Southdale Hospital* Edina Hospital  

HealthEast St Johns Hospital* Maplewood Hospital 

HealthEast St Josephs Hospital Saint Paul Hospital 

HealthEast Woodwinds Hospital* Woodbury Hospital  

Lake Region Healthcare Corp Fergus Falls Hospital  

Lakeview Hospital Stillwater Hospital  

Maple Grove Hospital Corporation Maple Grove Hospital  

Mayo Clinic Health System In Red Wing Hospital Red Wing Hospital 

Mayo Clinic Health System Mankato Mankato Hospital 

Mayo Clinic Hospital Rochester* Rochester Hospital 

Mercy Hospital An Allina Facility Coon Rapids Hospital  

Mercy Hospital Unity Campus Fridley Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 29 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MINNESOTA (cont’d)

Minnesota Valley Surgery Center LLC (ASC) Burnsville Ambulatory Surgical Center  

North Memorial Medical Center Robbinsdale Hospital  

Olmsted Medical Center Hospital Rochester Hospital 

Owatonna Hospital Owatonna Hospital 

Regina Hospital Hastings Hospital 

Regions Hospital Saint Paul Hospital  

Ridgeview Medical Center Waconia Hospital  

Sanford Bemidji Medical Center Bemidji Hospital  

St Cloud Hospital Saint Cloud Hospital  

St Cloud Surgical Center (ASC) Saint Cloud Ambulatory Surgical Center  

St Francis Regional Medical Center Shakopee Hospital  

St Gabriels Hospital* Little Falls Hospital  

St Lukes Hospital Duluth Hospital  

Two Twelve Surgery Center (ASC) Chaska Ambulatory Surgical Center 

United Hospital An Allina Facility Saint Paul Hospital  

Unity Hospital Fridley Hospital  

University of Minnesota Medical Center Fairview* Minneapolis Hospital  

Vadnais Heights Surgery Center (ASC) Vadnais Heights Ambulatory Surgical Center  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 30 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MISSISSIPPI

Baptist Memorial Hospital Golden Triangle Columbus Hospital  

Columbus Orthopaedic Outpatient Center (ASC) Columbus Ambulatory Surgical Center  

Forrest General Hospital Hattiesburg Hospital  

Madison Physician Surgery Center LLC (ASC) Floowood Hospital  

Mississippi Baptist Medical Center Jackson Hospital  

North Mississippi Medical Center Tupelo Hospital  

Rush Foundation Hospital* Meridian Hospital  

Singing River Health System Pascagoula Hospital  

Singing River Health System Ocean Springs Hospital  

St. Dominic Jackson Memorial Hospital Jackson Hospital   MISSOURI

Capital Region Medical Center Jefferson City Hospital  

Mercy Hospital Joplin Joplin Hospital 

Mercy Hospital St Louis Saint Louis Hospital  

Mercy Hospital Washington Washington Hospital  

Research Medical Center Kansas City Hospital 

Saint Lukes East Hospital Lees Summit Hospital  

Saint Lukes Hospital Kansas City Hospital 

Saint Lukes Northland Kansas City Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 31 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

MISSOURI (cont’d)

SSM Health Care St Louis dba SSM Health St Fenton Hospital Clare H*  

SSM Health DePaul Hospital Bridgeton Hospital  

SSM Health St Joseph Hospital Lake St Louis Lake Saint Louis Hospital  

SSM Health St Joseph Hospital St Charles Saint Charles Hospital  

SSM Health St Marys Hospital St Louis Saint Louis Hospital  

St Lukes Hospital Chesterfield Hospital   MONTANA

Billings Clinic Hospital* Billings Hospital  

Bozeman Health Bozeman Hospital  

St Vincent Healthcare Center Hosp Billings Hospital  NEBRASKA

Bellevue Medical Center Bellevue Hospital 

Bryan Medical Center Lincoln Hospital  

Chi Health Creighton Univ Omaha Hospital 

Chi Health Good Samaritan Kearney Hospital 

Chi Health Immanuel Omaha Hospital 

Chi Health Lakeside Omaha Hospital 

Chi Health St Francis Grand Island Hospital 

Columbus Community Hospital Columbus Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 32 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NEBRASKA (cont’d)

Faith Regional Health Services Norfolk Hospital 

Great Plains Health North Platte Hospital 

Mary Lanning Memorial Hospital Hastings Hospital 

Nebraska Medicine Omaha Hospital  

Nebraska Methodist Hospital Omaha Hospital   NEVADA

Mountainview Hospital Las Vegas Hospital 

Northern Nevada Medical Center Sparks Hospital  

Renown Regional Medical Center Reno Hospital  

Renown South Meadows Medical Center Reno Hospital  

Spring Valley Hospital Medical Center Las Vegas Hospital   NEW HAMPSHIRE

Catholic Medical Center Manchester Hospital 

Concord Hospital Concord Hospital 

Elliot Hospital Manchester Hospital 

Mary Hitchcock Memorial Hospital* Lebanon Hospital 

St Joseph Hospital Nashua Hospital  NEW JERSEY

Atlanticare Regional Med Ctr Pomona Hospital 

Chilton Medical Center Pompton Plains Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 33 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NEW JERSEY (cont’d)

Hackensack University Medical Center Hackensack Hospital 

Hunterdon Medical Center Flemington Hospital  

Inspira Medical Center Elmer Elmer Hospital 

Inspira Medical Center Mullica Hill Mullica Hill Hospital 

Jersey Shore University Medical Center Neptune Hospital  

John F Kennedy Medical Center Edison Hospital  

Morristown Medical Center Morristown Hospital  

Newton Medical Center Newton Hospital 

Ocean Medical Center Brick Hospital  

Overlook Medical Center Summit Hospital  

Raritan Bay Medical Center Perth Amboy Hospital 

Riverview Medical Center Meridian Health Red Bank Hospital System*  

Southern Ocean Medical Center Manahawkin Hospital 

University Medical Center at Princeton Plainsboro Hospital  

Virtua Memorial Hospital of Burlington County Mount Holly Hospital 

Virtua West Jersey Health System Voorhees Hospital  

Virtua West Jersey Health System Marlton Hospital   NEW YORK

Bon Secours Community Hosp Port Jervis Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 34 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NEW YORK (cont’d)

Buffalo General Hospital Buffalo Hospital 

Cayuga Medical Center at Ithaca Ithaca Hospital  

Ellis Hospital* Schenectady Hospital 

Erie County Medical Center Buffalo Hospital  

Faxton St Lukes Healthcare Utica Hospital 

Frederick Ferris Thompson Hospital Canandaigua Hospital  

Geneva General Hospital* Geneva Hospital  

Highland Hospital of Rochester Rochester Hospital  

Hudson Valley Hospital Center Peekskill Cortland Manor Hospital 

Kenmore Mercy Hospital Kenmore Hospital 

Mary Imogene Bassett Hospital Cooperstown Hospital  

Mercy Hospital of Buffalo Buffalo Hospital 

Millard Fillmore Suburban Hospital Williamsville Hospital 

Montefiore Medical Center Bronx Hospital 

Mount Sinai West New York Hospital 

Mount St Mary's Hospital Lewiston Hospital 

New York Presbyterian Hospital New York Hospital 

Newark-Wayne Community Hospital* Newark Hospital 

Nicholas H Noyes Memorial Hospital Dansville Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 35 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NEW YORK (cont’d)

North Shore Univ Hospital Manhasset Hospital  

Our Lady of Lourdes Memorial Hospital Inc Binghamton Hospital  

Rochester General Hospital* Rochester Hospital  

Samaritan Medical Center* Watertown Hospital  

Saratoga Hospital Saratoga Springs Hospital 

Staten Island University Hospital (North Site) Staten Island Hospital 

Sisters of Charity Hospital Buffalo Hospital 

Sisters of Charity Hospital - St Joseph Campus Cheektowaga Hospital 

St Anthonys Community Hospital Warwick Hospital 

St Elizabeth Medical Center Utica Hospital  

St Francis Hospital* Roslyn Hospital 

St Joseph’s Hospital Health Center* Syracuse Hospital  

St Peters Hospital Albany Hospital  

United Health Services Hospital, Inc Binghamton Hospital 

United Memorial Medical Center - Batavia Batavia Hospital  

Unity Hospital Rochester Hospital  

University Hospital SUNY Health Science Center – Syracuse Hospital Community Campus  

University Hospital SUNY Health Science Center – Syracuse Hospital Downtown Campus 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 36 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NORTH CAROLINA

Carolinas Medical Center Charlotte Hospital  

Caromont Regional Medical Center Gastonia Hospital  

Cone Health Wesley Long* Greensboro Hospital  

Davie County Hospital Bermuda Run Hospital  

Duke Regional Hospital Durham Hospital  

Halifax Regional Medical Center* Roanoke Rapids Hospital  

Haywood Regional Medical Center* Clyde Hospital  

High Point Regional Hospital* High Point Hospital  

Iredell Memorial Hospital* Statesville Hospital  

Lake Norman Regional Medical Center* Mooresville Hospital  

Lexington Memorial Hospital* Lexington Hospital  

Marg R. Pardee Memorial Hospital Hendersonville Hospital  

Moses H. Cone Memorial Hospital Greensboro Hospital  

Nash General Hospital Rocky Mount Hospital  

New Hanover Regional Medical Center Wilmington Hospital  

North Carolina Baptist Hospital* Winston Salem Hospital  

North Carolina Specialty Hospital Durham Hospital  

Novant Health Charlotte Orthopedic Charlotte Hospital  

Novant Health Rowan Medical Center Salisbury Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 37 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

NORTH CAROLINA (cont’d)

Rex Hospital Raleigh Hospital  

Rutherford Regional Medical Center Rutherfordton Hospital  

Sentara Albemarle Medical Center* Elizabeth City Hospital  

UNC Hospital Chapel Hill Hospital  

Wakemed Cary Hospital Cary Hospital  

Wakemed Raleigh Campus* Raleigh Hospital  

Wilson Medical Center Wilson Hospital   NORTH DAKOTA

Altru Health System, dba Altru Hospital* Grand Forks Hospital  

Essentia Health Fargo Fargo Hospital  

Sanford Medical Center Bismarck Hospital  

Sanford Medical Center Fargo Fargo Hospital  

St. Alexius Medical Center Bismarck Hospital  

Trinity Hospital Minot Hospital   OHIO

Cleveland Clinic Avon Hospital Avon Hospital  

Cleveland Clinic Health System - East Region Cleveland Hospital d/b/a Hillcrest Hospital  

Community Hospitals and Wellness Centers Bryan Hospital 

Defiance Regional Medical Center Defiance Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 38 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

OHIO (cont’d)

Euclid Hospital Cleveland Hospital  

Fairview Hospital Cleveland Hospital 

Fort Hamilton Hospital Hamilton Hospital 

Genesis Healthcare Systems Zanesville Hospital 

Grant Medical Center* Columbus Hospital  

Jewish Hospital LLC Cincinnati Hospital 

Kett Medical Center Sycamore* Miamisburg Hospital  

Kettering Medical Center* Dayton Hospital  

Lutheran Medical Center Cleveland Hospital  

McCullough Hyde Oxford Hospital 

Medina General Hospital Medina Hospital  

Mercy Health West Hospital Cincinnati Hospital  

Mercy Hospital Anderson Cincinnati Hospital  

Mercy Hospital Clermont Batavia Hospital 

Mercy Hospital Fairfield Fairfield Hospital 

Mercy Medical Center Canton Hospital  

Mercy Regional Medical Center Lorain Hospital  

Mercy St Anne Hospital Toledo Hospital  

Mercy St Charles Hospital Oregon Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 39 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

OHIO (cont’d)

Mercy St Vincent Medical Center Toledo Hospital 

Mount Carmel New Albany Surgical Hospital New Albany Hospital  

MT Carmel Health System East* Columbus Hospital  

MT. Carmel Grove City* Grove City Hospital  

Ohio Health Mansfield Hospital Mansfield Hospital  

Ohio Specialty Surgical Suites LLC North Canton Hospital 

Ohio State University Hospital Columbus Hospital  

Ohio Valley Medical Center Springfield Hospital  

Robinson Memorial Hospital Ravenna Hospital 

Soin Medical Center* Beavercreek Hospital  

Southwest General Hospital Cleveland Hospital  

St Anns Hospital* Westerville Hospital  

St Elizabeth Boardman Health Center Boardman Hospital  

St Elizabeth Health Center Youngstown Hospital  

St Joseph Health Center* Warren Hospital  

St Ritas Medical Center Lima Hospital  

St Vincent Charity Medical Center Cleveland Hospital  

Toledo Hospital* Toledo Hospital  

Trihealth Evendale Hospital Cincinnati Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 40 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

OHIO (cont’d)

Uh Ahuja Medical Center Beachwood Hospital  

Uh Elyria Medical Center Elyria Hospital  

Uh Parma Medical Center Cleveland Hospital  

UH St John Medical Center Westlake Hospital  

University Hospital Geauga Medical Center Chardon Hospital  

University Hospitals Cleveland Medical Center Cleveland Hospital  OKLAHOMA

Community Hospital Oklahoma City Hospital  

Duncan Regional Hospital Duncan Hospital  

Oklahoma Surgical Hospital LLC Tulsa Hospital  

St Anthony Hospital Oklahoma City Hospital   OREGON

Legacy Good Samaritan Medical Center Portland Hospital  

Legacy Meridian Park Medical Center Tualatin Hospital  

OHSU Hospital and Clinics* Portland Hospital  

Providence Medford Med Cent Medford Hospital  

Providence Portland Medical Portland Hospital 

Providence St Vincent Med Ctr Portland Hospital 

Providence Willamette Falls Medical Ctr Oregon City Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 41 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

OREGON (cont’d)

Silverton Hospital Silverton Hospital   PENNSYLVANIA

Allegheny General Hospital* Pittsburgh Hospital  

Allegheny Valley Hospital* Natrona Heights Hospital  

Armstrong County Memorial Hospital* Kittanning Hospital  

Canonsburg General Hospital* Canonsburg Hospital  

Chester County Hospital West Chester Hospital  

Dlp Conemaugh Memorial Medical Center, LLC Johnstown Hospital  

Doylestown Hospital* Doylestown Hospital  

Excela Westmoreland Regional Hospital* Greensburg Hospital  

Forbes Regional Hospital* Monroeville Hospital  

Geisinger Community Medical Center Scranton Hospital  

Geisinger Wyoming Valley Medical Center Wilkes Barre Hospital  

Geisinger Medical Center Danville Hospital 

Grand View Health Sellersville Hospital  

Heritage Valley Beaver Beaver Hospital  

Heritage Valley Sewickley Sewickley Hospital  

Indiana Regional Medical Center Indiana Hospital  

Lancaster General Hospital Lancaster Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 42 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

PENNSYLVANIA (cont’d)

Latrobe Area Hospital* Latrobe Hospital  

Lehigh Valley Hospital* Allentown Hospital  

Lehigh Valley Hospital* Bethlehem Hospital 

Lehigh Valley Hospital - Pocono East Stroudsburg Hospital  

Main Line Hospitals, Inc - Bryn Mawr Bryn Mawr Hospital  

Main Line Hospitals, Inc - Lankenau Wynnewood Hospital 

Main Line Hospitals, Inc - Paoli Memorial Paoli Hospital  

Meadville Medical Center Meadville Hospital  

Milton S Hershey Medical Center (The)* Hershey Hospital 

Mount Nittany Medical Center State College Hospital 

Ohio Valley General Hospital McKees Rocks Hospital  

Penn Highlands Dubois DuBois Hospital  

Penn State Health Holy Spirit Medical Center Camp Hill Hospital  

Phoenixville Hospital Phoenixville Hospital 

Pottstown Memorial Medical Center Pottstown Hospital  

Reading Hospital* West Reading Hospital 

Rothman Orthopaedic Specialty Hospital Bensalem Hospital  

Saint Vincent Health Center* Erie Hospital  

St Clair Memorial Hospital Pittsburgh Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 43 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

PENNSYLVANIA (cont’d)

The Western Pennsylvania Hospital* Pittsburgh Hospital  

Thomas Jefferson University Hospital Inc Philadelphia Hospital 

Uniontown Hospital Uniontown Hospital  

UPMC Carlisle* Carlisle Hospital  

WellSpan Chambersburg Hospital Chambersburg Hospital  

Wilkes Barre General Hospital Wilkes Barre Hospital  RHODE ISLAND

Rhode Island Hospital* Providence Hospital  

South County Hospital Wakefield Hospital  

The Miriam Hospital* Providence Hospital  

Westerly Hospital Westerly Hospital   SOUTH CAROLINA

Anmed Health Anderson Hospital 

Beaufort Memorial Hospital Beaufort Hospital  

Colleton Medical Center* Walterboro Hospital 

Conway Medical Center* Conway Hospital 

Georgetown Memorial Hospital* Georgetown Hospital 

GHS Oconee Memorial Hospital Seneca Hospital 

Kershaw Health Camden Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 44 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

SOUTH CAROLINA (cont’d)

Lexington Medical Center West Columbia Hospital 

McLeod Seacoast Hospital Little River Hospital 

MUSC Health Florence Medical Center Florence Hospital 

Newberry County Memorial Newberry Hospital  

Pelham Medical Center Greer Hospital 

Piedmont Medical Center Rock Hill Hospital 

Prisma Health Baptist Parkridge Hospital Columbia Hospital 

Prisma Health Richland Hospital Columbia Hospital 

Roper Hospital* Charleston Hospital  

Roper St Francis Mount Pleasant Hosp* Mount Pleasant Hospital  

Self Regional Healthcare Greenwood Hospital 

St Francis Eastside Greenville Hospital  

Waccamaw Community Hospital* Murrells Inlet Hospital  SOUTH DAKOTA

Avera McKennan Hospital Sioux Falls Hospital  

Avera Sacred Heart Hospital Yankton Hospital 

Black Hills Surgical Hospital LLP Rapid City Hospital  

Sanford USD Medical Center Sioux Falls Hospital  

Sioux Falls Specialty Hospital Sioux Falls Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 45 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

SOUTH DAKOTA (cont’d)

Siouxland Surgery Center LTD Dakota Dunes Hospital   TENNESSEE

Bristol Regional Medical Center Bristol Hospital  

Fort Sanders Regional Medical Center Knoxville Hospital  

Hendersonville Medical Center Hendersonville Hospital 

Holston Valley Medical Center Kingsport Hospital  

Jackson Madison County General Hospital Jackson Hospital 

Maury Regional Hospital Columbia Hospital  

Memorial Hospital Chattanooga Hospital  

Methodist Medical Center of Oak Ridge Oak Ridge Hospital  

Methodist Memphis Healthcare Memphis Hospital  

Parkridge Medical Center Chattanooga Hospital 

Parkwest Medical Center Knoxville Hospital  

Saint Thomas River Park Hospital LLC McMinnville Hospital 

St Thomas Midtown Hospital Inc Nashville Hospital 

St Thomas Rutherford Hospital Murfreesboro Hospital 

St Thomas West Hospital Nashville Hospital 

Stonecrest Medical Center Smyrna Hospital 

Summit Medical Center Hermitage Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 46 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

TENNESSEE (cont’d)

Sycamore Shoals Hospital Elizabethton Hospital 

Tennova Healthcare Cleveland* Cleveland Hospital  

Tennova Healthcare North Knoxville Medical Powell Hospital Center  

Tennova Healthcare Turkey Creek Medical Center Knoxville Hospital 

Tristar Centennial Medical Center Nashville Hospital 

Tristar Southern Hills Medical Center Nashville Hospital 

University of Tennessee Medical Center Knoxville Hospital   TEXAS

Baptist Beaumont Hospital Beaumont Hospital  

Baptist Medical Center* San Antonio Hospital 

Baptist St Anthonys Health System* Amarillo Hospital 

Baylor Scott and White Medical Center Temple Temple Hospital 

Baylor Scott and White McKinney McKinney Hospital 

Baylor Scott White Med Hillcrest Waco Hospital 

Baylor Scott & White Texas Spine & Joint Hospital Tyler Hospital  

Baylor Scott White Med Ctr Round Rock Round Rock Hospital 

Baylor Surgical Hospital FT Worth Fort Worth Hospital 

Christus Hospital St Elizabeth Beaumont Hospital 

Dell Seton Medical Center at the University of Austin Hospital Texas 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 47 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

TEXAS (cont’d)

Detar Hospital Navarro Victoria Hospital  

Doctors Hospital at Renaissance* Edinburg Hospital 

Good Shepherd Medical Center* Longview Hospital  

Hendrick Medical Center Abilene Hospital 

Houston Methodist San Jacinto Hos Baytown Hospital 

Houston Methodist St John Hosp Houston Hospital 

Houston Methodist Sugar Land Hosp Sugar Land Hospital 

Houston Methodist West Hospital Houston Hospital 

Houston Methodist Willowbrook Houston Hospital 

HSPS Providence Memorial Campus El Paso Hospital 

HSPS of Providence Sierra Campus El Paso Hospital 

Kingwood Medical Center* Kingwood Hospital 

Medical Center Hospital* Odessa Hospital  

Medical City Fort Worth Fort Worth Hospital 

Medical City Lewisville Lewisville Hospital 

Mem Hermann Sugarland Hosp Sugar Land Hospital 

Memorial Hermann Katy Hospital Katy Hospital 

Memorial Medical Center Livingston Livingston Hospital 

Methodist Dallas Medical Center Dallas Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 48 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

TEXAS (cont’d)

Methodist Hospital for Surgery Addison Hospital 

Methodist Mansfield Medical Center Mansfield Hospital 

Midland Memorial Hospital Midland Hospital 

Mission Trail Baptist* San Antonio Hospital 

Mother Frances Hospital Tyler Hospital  

Nacogdoches Medical Center Nacogdoches Hospital 

North Central Baptist Hospital* San Antonio Hospital 

Northeast Baptist Hospital* San Antonio Hospital 

Pampa Regional Medical Center Pampa Hospital 

Physicians Surgical Hospitals LLC Amarillo Hospital  

Resolute Hospital Company LLC New Braunfels Hospital 

Seton Medical Center Austin Hospital 

Seton Medical Center Hays Kyle Hospital 

Seton Medical Ctr Harker Heights Harker Heights Hospital 

Seton Medical Center Williamson Round Rock Hospital 

Seton Northwest Hospital Austin Hospital 

St Joseph Regional Health Center Bryan Hospital  

Texas Orthopedic Hospital Houston Hospital  

Trophy Club Medical Center Trophy Club Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 49 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

TEXAS (cont’d)

TX Health Harris Methodist Hosp* Fort Worth Hospital 

TX Health Presby Hosp Rockwall Rockwall Hospital 

TX Hlth Arlington Memorial Hosp Arlington Hospital 

TX Hlth Harris Methodist Hosp Cleburne Hospital 

TX Hlth Harris Methodist Hosp Hebrew Bedford Hospital 

TX Hlth Harris Methodist Hosp SW Fort Worth Hospital 

TX Hlth Harris Methodist Hospital Stephenville Hospital 

TX Hlth Huguley Fort Worth South Burleson Hospital 

TX Hlth Presby Hosp Flower Mound Flower Mound Hospital 

TX Hlth Presbyterian Hosp Allen Allen Hospital 

TX Hlth Presbyterian Hosp Dallas Dallas Hospital 

University Health System San Antonio Hospital 

UT Southwestern University Hosp Dallas Hospital 

Valley Baptist Medical Center Brownsville* Brownsville Hospital 

Wadley Regional Medical Center Texarkana Hospital   UTAH

Lakeview Hospital Bountiful Hospital  

Lone Peak Hospital Inc* Draper Hospital  

Ogden Regional Medical Center* Ogden Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 50 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

UTAH (cont’d)

Salt Lake Regional Medical Ctr Salt Lake City Hospital  

University Hospital* Salt Lake City Hospital   VERMONT

Rutland Regional Medical Center* Rutland Hospital 

University of Vermont Medical Center Inc Burlington Hospital  VIRGINIA

Augusta Health Care Inc Fishersville Hospital  

Bon Secours DePaul Medical Center Norfolk Hospital 

Bon Secours Memorial Regional* Mechanicsville Hospital  

Bon Secours St Francis Medical Ctr Hampton Hospital  

Bon Secours St Francis Medical Ctr Midlothian Hospital  

Bon Secours St Marys Hospital* Richmond Hospital  

Carilion Roanoke Memorial Hosp Roanoke Hospital 

Centra Health Inc Lynchburg Hospital 

Chesapeake General Hospital* Chesapeake Hospital  

Fair Oaks Hospital Fairfax Hospital  

Fairfax Hospital Falls Church Hospital 

Henrico Doctors Hospital Parham Richmond Hospital 

Lewisgale Medical Center Salem Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 51 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

VIRGINIA (cont’d)

Mary Immaculate Hospital Inc Newport News Hospital  

Mary Washington Hospital Inc Fredericksburg Hospital  

Maryview Medical Center Portsmouth Hospital  

Mount Vernon Hospital Alexandria Hospital 

Novant Health UVA Health System Haymarket Hospital 

Novant Health UVA Health System Manassas Hospital  

Riverside Doctors Hosp of Williamsburg Williamsburg Hospital  

Riverside Tappahannock Hospital Tappahannock Hospital 

Riverside Walter Reed Hospital Gloucester Hospital 

Sentara Careplex Hospital Hampton Hospital  

Sentara Halifax Regional Hospital South Boston Hospital  

Sentara Leigh Hospital Norfolk Hospital  

Sentara Martha Jefferson Hospital Charlottesville Hospital  

Sentara Northern Virginia Medical Center Woodbridge Hospital  

Sentara Obici Hospital Suffolk Hospital  

Sentara Princess Anne Hospital Virginia Beach Hospital  

Sentara RMH Medical Center Harrisonburg Hospital  

Sentara Virginia Beach General H Virginia Beach Hospital  

Sentara Williamsburg Regional Med Ctr Williamsburg Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 52 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

VIRGINIA (cont’d)

Stafford Hospital Stafford Hospital  

UVA Health Sciences Ctr Charlottesville Hospital 

Virginia Commonwealth University Health System Richmond Hospital Authority (VCUHA)* 

Virginia Hospital Center Arlington Arlington Hospital 

Wythe County Community Hospital Wytheville Hospital   WASHINGTON

Deaconess Medical Center Spokane Hospital  

Good Samaritan Hospital Puyallup Hospital 

Harrison Medical Center* Bremerton Hospital  

Highline Medical Center Main Campus* Burien Hospital  

Kadlec Regional Medical Center Richland Hospital  

Legacy Salmon Creek Hospital Vancouver Hospital  

Multicare Allenmore Hospital Tacoma Hospital 

Overlake Hospital Medical Center* Bellevue Hospital  

Providence Centralia Hospital Centralia Hospital 

Providence Regional Medical Center Everett Everett Hospital Colby Campus 

Providence Sacred Heart Medical Center and Spokane Hospital Children’s Hospital  

Providence St Mary Medical Center Walla Walla Hospital  

Samaritan Hospital* Moses Lake Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 53 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

WASHINGTON (cont’d)

St Anthony Hospital* Gig Harbor Hospital 

St Clare Hospital* Lakewood Hospital 

St Elizabeth Hospital* Enumclaw Hospital  

St Joseph Medical Center* Tacoma Hospital 

Swedish Edmonds Edmonds Hospital  

Swedish Medical Center First Hill Seattle Hospital  

Valley Medical Center Renton Hospital  

Virginia Mason Hospital and Medical Center Seattle Hospital  WEST VIRGINIA

Berkeley Medical Center Martinsburg Hospital  

Cabell Huntington Hospital* Huntington Hospital 

Camden Clark Memorial Hospital Corp Parkersburg Hospital  

Charleston Area Medical Center Charleston Hospital 

Monongalia General Hospital Morgantown Hospital  

St Marys Medical Center Huntington Hospital  

Thomas Memorial Hospital* South Charleston Hospital  

United Hospital Center* Bridgeport Hospital  

West Virginia University Hospital* Morgantown Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 54 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

WISCONSIN

Aurora Baycare Medical Center Green Bay Hospital 

Aurora Health Care Metro Milwaukee Hospital 

Aurora Lakeland Medical Center Elkhorn Hospital 

Aurora Medical Center Grafton Grafton Hospital 

Aurora Medical Center Hartford Hartford Hospital 

Aurora Medical Center Summit Summit Hospital 

Aurora Memorial Hospital of Burlington Burlington Hospital 

Aurora Sheboygan Memorial Medical Center Sheboygan Hospital 

Aurora West Allis Medical Ctr West Allis Hospital 

Columbia St Marys Hospital Milw Inc* Milwaukee Hospital 

Gundersen Lutheran Medical Center La Crosse Hospital 

Howard Young Medical Center Woodruff Hospital 

Marshfield Medical Center Weston Weston Hospital 

MCHS Eau Claire Luther Campus Eau Claire Hospital 

Mercy Hospital Janesville Hospital 

Mercy Medical Center* Oshkosh Hospital  

Midwest Orthopedic Specialty Hospital LLC* Franklin Hospital  

Oakleaf Surgical Hospital Altoona Hospital  

Oconomowoc Memorial Hospital Inc* Oconomowoc Hospital 

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in‐network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non‐covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. 55 - 56 Blue Distinction® Centers for Knee and Hip Replacement

DESIGNATED DESIGNATED KNEE AND HIP BLUE BLUE STATE/FACILITY NAME CITY REPLACEMENT DISTINCTION DISTINCTION CENTER TYPE CENTER+ CENTER

WISCONSIN (cont’d)

St Clares Hospital of Weston Inc* Weston Hospital 

St Elizabeth Hospital* Appleton Hospital 

St Joseph’s Hospital Marshfield Hospital 

St Marys Hospital* Rhinelander Hospital 

St Marys Hospital Medical Center Green Bay Hospital 

St Marys Hospital Ozaukee* Mequon Hospital 

St Michaels Hospital* Stevens Point Hospital  

St Vincent Hospital Green Bay Hospital 

Waukesha Memorial Hospital* Waukesha Hospital 

UW Health University Hospital Madison Hospital 

Wheaton Franciscan Healthcare All Saints* Mount Pleasant Hospital 

Wheaton Franciscan Healthcare Elmbrook Brookfield Hospital Memorial* 

Wheaton Franciscan Healthcare Franklin Franklin Hospital 

Wheaton Franciscan Healthcare St Joseph* Milwaukee Hospital  WYOMING

Campbell County Memorial Hospital* Gillette Hospital  

Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Companies.