Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies.

Centers for Knee and Hip Replacement

Directory of Providers

Blue Distinction® Centers for Knee and Hip Replacement

*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 - 52

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.

Blue Distinction® Centers for Knee and Hip Replacement

*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.

2 - 52

Blue Distinction® Centers for Knee and Hip Replacement

As of September 2, 2020

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

ALABAMA

Athens Limestone Hospital* Athens Hospital

Baptist Medical Center South Montgomery Hospital

Flow ers Hospital* Dothan Hospital

Helen Keller Hospital Sheff ield 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

South Baldw in 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 Distinction® Centers for Knee and Hip Replacement

*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.

3 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

ARKANSAS

Mercy Hospital Fort Smith Fort Smith Hospital

St Bernards Medical Center Jonesboro Hospital

University Hospital of Arkansas* Little Rock Hospital

ARIZONA

Abrazo Arrow head 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 How ard Memorial Willits Hospital

Adventist Health Hanford Hanford Hospital

Adventist Medical Center Hanford Hospital

Alta Bates Summit Medical Center Summit

Campus Oakland Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

4 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

Alta Bates Summit Medical Center-Alta

Bates/Herrick Campus Berkeley Hospital

Bakersfield Heart Hospital Bakersfield Hospital

Bakersfield Memorial Hospital Bakersfield Hospital

Barton Memorial Hospital South Lake

Tahoe Hospital

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

Eisenhow er Medical Center Rancho Mirage Hospital

El Camino Hosp Mountain View Hospital

Enloe Medical Center Inc Chico Hospital

Fountain Valley Regional Hospital and Medical

Center Fountain Valley Hospital

French Hospital Medical Center San Luis Obispo Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

5 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

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 New hall 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

Kaw eah 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

Marian Regional Medical Center Santa Maria Hospital

Mercy General Hospital Sacramento Hospital

Mercy Hospital of Bakersfield Bakersfield Hospital

Mercy Medical Center Merced Merced Hospital

Mercy Medical Center Redding Redding Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

6 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

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

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

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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

7 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

Redlands Community Hospital Redlands Hospital

Riverside Community Hospital Riverside Hospital

Saddleback Memorial Medical Center Laguna Hills Hospital

Saint Agnes Medical Center Fresno Hospital

San Antonio Regional Hospital Upland 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* Redw ood City Hospital

Sharp Coronado Hospital & Healthcare Center Coronado Hospital

Sharp Memorial Hospital San Diego Hospital

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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

8 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

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 Roseville Medical Center* Roseville Hospital

Sutter Santa Rosa Regional Hospital Santa Rosa Hospital

Sutter Tracy Community Hospital Tracy Hospital

Tahoe Forest Hospital District Truckee Hospital

Temecula Valley Hospital* Temecula Hospital

Torrance Memorial Medical Center Torrance Hospital

Tri City Medical Center Oceanside Hospital

UC Irvine Medical Center* Orange Hospital

UCSF Medical Center San Francisco Hospital

Washington Hospital Carmichael Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

9 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CALIFORNIA (cont’d)

Washington Hospital Fremont Hospital

Woodland Memorial Hospital Woodland Hospital

COLORADO

Centura Ortho Colorado at St Anthony Medical

Campus Lakew ood Hospital

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

Rose Medical Center* Denver Hospital

Sky Ridge Medical Center Lone Tree Hospital

St Anthony Hospital Lakew ood Hospital

St Anthony Hospital North Westminster Hospital

St Anthony Summit Medical Center Frisco Hospital

Sw edish Medical Center Englew ood Hospital

University Hospital Aurora Hospital

CONNECTICUT

Bristol Hospital* Bristol Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

10 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

CONNECTICUT (cont’d)

Day Kimball Hospital Putnam Hospital

Griff in Hospital Derby Hospital

Hartford Hospital Hartford Hospital

Hospital of Central CT New Britain Hospital

John Dempsey Hospital* Farmington Hospital

Law rence and Memorial Hospital* New London Hospital

Midstate Medical Center Meriden Hospital

Norw alk Hospital Norw alk Hospital

St Francis Hospital & Medical Center Hartford Hospital

St Marys Hospital Corporation Waterbury Hospital

DISTRICT OF COLUMBIA

George Wash Univ Washington Hospital

Georgetow n 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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

11 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

FLORIDA

AdventHealth Heart of Florida Davenport Hospital

AdventHealth Tampa Tampa Hospital

Baptist Hospital of Miami Inc Miami Hospital

Baptist Hospital Pensacola Pensacola Hospital

Baptist Med Ctr - Bch Dunedin Hospital

Baptist Medical Center Nassau Fernandina

Beach Hospital

Bayfront Health Seven Rivers Crystal River Hospital

Bayfront Health Punta Gorda Punta Gorda Hospital

Blake Medical Center Bradenton Hospital

Brandon Regional Hospital Brandon Hospital

Brow ard Health Medical Center Fort Lauderdale Hospital

Brow ard 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

Faw cett Memorial Hospital Port Charlotte Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

12 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

FLORIDA (cont’d)

Flagler Hospital Saint Augustine Hospital

FT Walton Beach Medical Ctr Fort Walton

Beach Hospital

Gulf Breeze Hospital Gulf Breeze

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

Lakew ood Ranch Medical Center* Lakew ood 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 Hollyw ood Hospital

Mercy Hospital Miami Hospital

Morton Plant North Bay Hospital New Port Richey Hospital

Ocala Regional Medical Center Ocala Hospital

Orange Park Medical Center Orange Park Hospital

Orlando Health Central Ocoee Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

13 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

FLORIDA (cont’d)

Orlando Health South Lake Hospital Clermont Hospital

Osceola Regional Medical Center Kissimmee Hospital

Physicians Regional Medical Center - Collier Blvd Naples Hospital

Putnam Community Medical Center Palatka Hospital

Shands and University of Florida Health Care

Ntw k Gainesville Hospital

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

Emory University Hospital Atlanta Hospital

Fairview Park Hospital Dublin Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

14 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

GEORGIA (cont’d)

Northeast Georgia Medical Center, Inc Gainesville Hospital

Northside Hospital - Cherokee Canton Hospital

Northside Hospital Forsyth Cumming Hospital

Phoebe Putney Memorial Hospital* Albany Hospital

St Francis Hospital Inc Columbus Hospital

Tanner Medical Center Carrollton 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

St Joseph RMC Lew iston Hospital

St Lukes Magic Valley RMC Tw in Falls Hospital

ILLINOIS

Adventist Bolingbrook Hospital Bolingbrook Hospital

Adventist Hinsdale Hospital Hinsdale Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

15 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

ILLINOIS (cont’d)

Adventist Lagrange Memorial Hosp La Grange Hospital

Advocate Good Shepherd Hospital Barrington Hospital

Advocate Illinois Masonic Med Center Chicago Hospital

Advocate Lutheran General Children’s 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

Carle Foundation Hospital Urbana Hospital

Central DuPage Hospital Winfield Hospital

Decatur Memorial Hospital Decatur Hospital

Delnor Community Hospital Geneva Hospital

Edw ard Hospital Naperville Hospital

Elmhurst Mem Hospital Main Campus Elmhurst Hospital

Gatew ay Regional Medical Cntr Granite City Hospital

Gottlieb Memorial Hospital Jacksonville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

16 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

ILLINOIS (cont’d)

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

Northw est Community Hospital* Arlington Heights Hospital

Northw estern Memorial Hospital Chicago Hospital

Passavant Memorial Area Hosp Jacksonville 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 Eff ingham Hospital

St James Hospital Pontiac Hospital

St Johns Hospital Springfield Hospital

St Marys Hospital Decatur Hospital

Sw edish Covenant Hospital Chicago Hospital

The University of IL Medical Ctr Chicago Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

17 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

ILLINOIS (cont’d)

University of Chicago Medical Cen* Chicago Hospital

Vista Medical Center East Waukegan Hospital

INDIANA

Columbus Regional Hospital Columbus Hospital

Community Hospital Munster Hospital

Community Hospitals Indiana Inc Indianapolis Hospital

Community How ard 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

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

Lutheran Hospital of Indiana Fort Wayne Hospital

Major Hospital Shelbyville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

18 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

INDIANA (cont’d)

Memorial Hospital* South Bend 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

Covenant Medical Center Waterloo Hospital

Finley Hospital Dubuque Hospital

Mercy Hospital Iow a City Hospital

Mercy Medical Center Cedar Rapids Hospital

Mercy Medical Center North Iow a Mason City Hospital

Mercy Medical Center Sioux City Sioux City Hospital

Mercy Medical Center West Lakes West Des Moines Hospital

Methodist West Hospital* West Des Moines Hospital

Ottumw a Regional Health Center Ottumw a Hospital

Pella Regional Health Center Pella Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

19 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

IOWA (cont’d)

Sartori Memorial Hospital Cedar Falls Hospital

St Lukes Methodist Hospital Cedar Rapids Hospital

University of Iow a Hospital and Clinics Iow a City Hospital

KANSAS

AdventHealth Ottaw a Ottaw a Hospital

AdventHealth Shaw nee Mission* Shaw nee 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

New ton Medical Center New ton Hospital

Stormont-Vail Hospital* Topeka Hospital

University of Kansas Health Sys - St Francis Topeka Hospital

Wesley Medical Center Wichita Hospital

KENTUCKY

Baptist Health Lexington Lexington Hospital

Baptist Health Louisville Louisville Hospital

Baptist Health Madisonville Madisonville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

20 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

KENTUCKY (cont’d)

Flaget Memorial Hospital Bardstow n Hospital

Hardin Memorial Hospital Elizabethtow n Hospital

Ow ensboro Health Regional Hospital Ow ensboro 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 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

Our Lady of Lourdes Regional Medical Center* La Fayette Hospital

Our Lady of The Lake Regional Medical Center Baton Rouge Hospital

Park Place Surgical Hospital Lafayette Hospital

St. Tammany Parish Hospital Covington Hospital

Thibodaux Regional Health System* Thibodaux Hospital

Touro Infirmary New Orleans Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

21 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

LOUISIANA (cont’d)

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 Lew iston Hospital

Maine Coast Memorial Hospital Ellsw orth Hospital

Maine General Medical Center Augusta Hospital

Maine Medical Center Portland Hospital

Mercy Hospital Portland Hospital

Southern Maine Health Care* Biddeford Hospital

MARYLAND

Anne Arundel Medical Center* Annapolis Hospital

Carroll Hospital Center Westminster Hospital

Greater Baltimore Medical Center Baltimore Hospital

Harford Memorial Hospital Havre De Grace Hospital

Medstar Southern MD Hospital Center Clinton Hospital

Montgomery General Hospital Olney Hospital

Northw est Hospital Center Randallstow n Hospital

Peninsula Regional Medical Center Salisbury Hospital

Sinai Hospital of Baltimore Baltimore Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

22 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MARYLAND (cont’d)

St Marys Hospital Leonardtow n Hospital

Suburban Hospital Bethesda Hospital

Union Memorial Hospital Baltimore Hospital

University of MD St Joseph Medical Center Tow son Hospital

Upper Chesapeake Medical Center Bel Air Hospital

Western MD Regional Medical Center Cumberland Hospital

MASSACHUSETTS

Baystate Medical Center Springfield Hospital

Berkshire Medical Center Pittsf ield Hospital

Beth Israel Deaconess Hospital - Plymouth Plymouth Hospital

Brigham and Women's Faulkner Hospital Boston Hospital

Cooley Dickinson Hospital Northampton Hospital

Holy Family Hospital* Methuen Hospital

Low ell General Hospital Low ell Hospital

Massachusetts General Hospital Boston Hospital

Metrow est Medical Center* Framingham Hospital

Mount Auburn Hospital Cambridge Hospital

New England Baptist Hospital Boston Hospital

New ton-Wellesley Hospital* New ton Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

23 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MASSACHUSETTS (cont’d)

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

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 Methodist Hospital* Kalamazoo Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

24 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MICHIGAN (cont’d)

Harper University Hospital & Hutzel Women’s

Hospital Detroit Hospital

Henry Ford Macomb Hospital Clinton Tow nship Hospital

Holland Hospital Holland Hospital

Hurley Medical Center* Flint Hospital

Lake Huron Medical Center Port Huron Hospital

Lakeland Hospital at Niles & St Joseph Saint Joseph Hospital

Marquette General Hospital Up Health Systems Marquette Hospital

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 Port Huron Port Huron Hospital

Memorial Health Care Center Ow asso Hospital

Mercy Health Muskegon* Muskegon Hospital

Metro Health Hospital Wyoming Hospital

Midmichigan Medical Center Alpena Alpena Hospital

Midmichigan Medical Center-Midland Midland Hospital

Midmichigan Medical Center West Branch West Branch Hospital

Munson Healthcare Cadillac Hospital* Cadillac Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

25 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MICHIGAN (cont’d)

Munson Healthcare Grayling Hospital Grayling Hospital

Munson Medical Center Traverse City Hospital

North Ottaw a Community Hospital Grand Haven Hospital

ProMedica Bixby Hospital* Adrian Hospital

ProMedica Coldw ater Regional Hospital Coldw ater Hospital

Saint Joseph Mercy Livingston How ell Hospital

Sparrow Hospital Lansing Hospital

Spectrum Health Butterw orth 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 Hospital System Taw as Taw as City Hospital

St Joseph Mercy Chelsea Chelsea Hospital

St Joseph Mercy Hospital Ann Arbor Ypsilanti Hospital

St Joseph Mercy Oakland* Pontiac Hospital

MINNESOTA

Abbott Northw estern Hospital An Allina Facility Minneapolis Hospital

Avera Marshall Regional Medical Center Marshall Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

26 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MINNESOTA (cont’d)

Blaine ASC LLC (ASC) Blaine Ambulatory Surgical Center

Buffalo Hospital Buffalo Hospital

Cambridge Medical Center Cambridge Hospital

Crosstow n Surgery Center (ASC) Edina Ambulatory Surgical Center

Cuyuna Regional Medical Center* Crosby Hospital

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* Maplew ood Hospital

HealthEast St Josephs Hospital Saint Paul Hospital

HealthEast Woodw inds Hospital* Woodbury Hospital

Lake Region Healthcare Corp Fergus Falls Hospital

Lakeview Hospital Stillw ater Hospital

Maple Grove Hospital Corporation Maple Grove Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

27 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MINNESOTA (cont’d)

Mayo Clinic Health System In Red Wing Hospital Red Wing Hospital

Mayo Clinic Hospital Rochester* Rochester Hospital

Mercy Hospital An Allina Facility Coon Rapids Hospital

Mercy Hospital Unity Campus Fridley Hospital

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

North Memorial Medical Center Robbinsdale Hospital

Olmsted Medical Center Hospital Rochester Hospital

Ow atonna Hospital Ow atonna 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

Tw o Tw elve Surgery Center (ASC) Chaska Ambulatory Surgical Center

United Hospital An Allina Facility Saint Paul Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

28 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MINNESOTA (cont’d)

Unity Hospital Fridley Hospital

University of Minnesota Medical Center Fairview * Minneapolis Hospital

Vadnais Heights Surgery Center (ASC) Vadnais Heights Ambulatory Surgical 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) Floow ood 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 Washington Washington Hospital

Research Medical Center Kansas City Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

29 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

MISSOURI (cont’d)

SSM Health Care St Louis dba SSM Health St

Clare H* Fenton Hospital

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 Chesterf ield Hospital

MONTANA

Billings Clinic Hospital* Billings 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

Faith Regional Health Services Norfolk Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

30 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NEBRASKA (cont’d)

Great Plains Health North Platte Hospital

Nebraska Medicine Omaha Hospital

Nebraska Methodist Hospital Omaha Hospital

NEVADA

Mountainview Hospital Las Vegas Hospital

Northern Nevada Medical Center Sparks Hospital

Renow n Regional Medical Center Reno Hospital

Renow n South Meadow s 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

NEW JERSEY

Atlanticare Regional Med Ctr Pomona Hospital

Chilton Medical Center Pompton Plains Hospital

Hackensack University Medical Center Hackensack Hospital

Hunterdon Medical Center Flemington Hospital

Inspira Medical Center Elmer Elmer Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

31 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NEW JERSEY (cont’d)

Inspira Medical Center Mullica Hill Mullica Hill Hospital

Jersey Shore University Medical Center Neptune Hospital

John F Kennedy Medical Center Edison Hospital

New ton Medical Center New ton Hospital

Ocean Medical Center Brick Hospital

Overlook Medical Center Summit Hospital

Riverview Medical Center Meridian Health

System* Red Bank Hospital

Southern Ocean Medical Center Manahaw kin 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

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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

32 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NEW YORK (cont’d)

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 Cooperstow n Hospital

Mercy Hospital of Buffalo Buffalo Hospital

Millard Fillmore Suburban Hospital Williamsville Hospital

Mount Sinai West New York Hospital

Mount St Mary's Hospital Lew iston Hospital

New York Presbyterian Hospital New York Hospital

New ark-Wayne Community Hospital* New ark Hospital

Nicholas H Noyes Memorial Hospital Dansville Hospital

North Shore Univ Hospital Manhasset Hospital

Our Lady of Lourdes Memorial Hospital Inc Binghamton Hospital

Rochester General Hospital* Rochester Hospital

Samaritan Medical Center* Watertow n Hospital

Saratoga Hospital Saratoga Springs Hospital

Staten Island University Hospital (North Site) Staten Island Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

33 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NEW YORK (cont’d)

Sisters of Charity Hospital Buffalo Hospital

Sisters of Charity Hospital - St Joseph Campus Cheektow aga Hospital

St Anthonys Community Hospital Warw ick 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

Unity Hospital Rochester Hospital

University Hospital SUNY Health Science Center Syracuse Hospital

NORTH CAROLINA

Carolinas Medical Center Charlotte Hospital

Caromont Regional Medical Center Gastonia Hospital

Davie County Hospital Bermuda Run Hospital

Duke Regional Hospital Durham Hospital

Halifax Regional Medical Center* Roanoke Rapids Hospital

Hayw ood Regional Medical Center* Clyde Hospital

High Point Regional Hospital* High Point Hospital

Iredell Memorial Hospital* Statesville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

34 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NORTH CAROLINA (cont’d)

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

Moses H Cone Memorial Hospital - Wesley Long

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 Row an Medical Center Salisbury Hospital

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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

35 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

NORTH DAKOTA

Altru Health System, dba Altru Hospital* Grand Forks 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

d/b/a Hillcrest Hospital Cleveland Hospital

Community Hospitals and Wellness Centers Bryan Hospital

Defiance Regional Medical Center Defiance Hospital

Euclid Hospital Cleveland Hospital

Fairview Hospital Cleveland Hospital

Fort Hamilton Hospital Hamilton Hospital

Genesis Healthcare Systems Zanesville Hospital

Grant Medical Center* Columbus Hospital

Kett Medical Center Sycamore* Miamisburg Hospital

Kettering Medical Center* Dayton Hospital

Lutheran Medical Center Cleveland Hospital

McCullough Hyde Oxford Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

36 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

OHIO (cont’d)

Medina General Hospital Medina Hospital

Mercy Health West Hospital Cincinnati Hospital

Mercy Hospital Anderson Cincinnati Hospital

Mercy Hospital Clermont Batavia Hospital

Mercy Hospital Fairf ield Fairf ield Hospital

Mercy Medical Center Canton Hospital

Mercy Regional Medical Center Lorain Hospital

Mercy St Anne Hospital Toledo Hospital

Mercy St Charles Hospital Oregon Hospital

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 State University Hospital Columbus Hospital

Ohio Valley Medical Center Springfield Hospital

Robinson Memorial Hospital Ravenna Hospital

Soin Medical Center* Beavercreek Hospital

Southw est General Hospital Cleveland Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

37 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

OHIO (cont’d)

St Anns Hospital* Westerville Hospital

St Elizabeth Boardman Health Center Boardman Hospital

St Elizabeth Health Center Youngstow n Hospital

St John Medical Center Westlake 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

Uh Ahuja Medical Center Beachw ood Hospital

Uh Elyria Medical Center Elyria Hospital

Uh Parma Medical Center Cleveland 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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

38 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

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

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 Johnstow n Hospital

Doylestow n Hospital* Doylestow n Hospital

Excela Westmoreland Regional Hospital* Greensburg Hospital

Forbes Regional Hospital* Monroeville Hospital

Geisinger Community Medical Center Scranton Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

39 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

PENNSYLVANIA (cont’d)

Geisinger Holy Spirit Hospital Camp Hill Hospital

Geisinger Medical Center Danville Hospital

Grand View Health Sellersville Hospital

Heritage Valley Sew ickley Sew ickley Hospital

Indiana Regional Medical Center Indiana Hospital

Lancaster General Hospital Lancaster Hospital

Latrobe Area Hospital* Latrobe Hospital

Lehigh Valley Hospital* Allentow n Hospital

Lehigh Valley Hospital* Bethlehem Hospital

Lehigh Valley Hospital - Pocono East Stroudsburg Hospital

Main Line Hospitals, Inc - Bryn Maw r Bryn Maw r Hospital

Main Line Hospitals, Inc - Lankenau Wynnew ood 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

Phoenixville Hospital Phoenixville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

40 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

PENNSYLVANIA (cont’d)

Pottstow n Memorial Medical Center Pottstow n Hospital

Reading Hospital* West Reading Hospital

Rothman Orthopaedic Specialty Hospital Bensalem Hospital

Saint Vincent Health Center* Erie Hospital

St Clair Memorial Hospital Pittsburgh Hospital

The Western Pennsylvania Hospital* Pittsburgh Hospital

Thomas Jefferson University Hospital Inc Philadelphia Hospital

Uniontow n Hospital Uniontow n Hospital

UPMC Pinnacle 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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

41 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

SOUTH CAROLINA (cont’d)

Colleton Medical Center* Walterboro Hospital

Conw ay Medical Center* Conw ay Hospital

Georgetow n Memorial Hospital* Georgetow n Hospital

GHS Oconee Memorial Hospital Seneca Hospital

Kershaw Health Camden Hospital

Lexington Medical Center West Columbia Hospital

McLeod Seacoast Hospital Little River Hospital

MUSC Health Florence Medical Center Florence Hospital

New berry County Memorial New berry 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 Greenw ood Hospital

St Francis Eastside Greenville Hospital

Waccamaw Community Hospital* Murrells Inlet Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

42 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

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

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

Methodist Memphis Healthcare Memphis Hospital

Parkridge Medical Center Chattanooga Hospital

Parkw est Medical Center Knoxville Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

43 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

TENNESSEE (cont’d)

Saint Thomas River Park Hospital LLC McMinnville Hospital

St Thomas Midtow n 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

Sycamore Shoals Hospital Elizabethton Hospital

Tennova Healthcare Cleveland* Cleveland Hospital

Tennova Healthcare North Knoxville Medical

Center Pow ell Hospital

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 & White Medical Ctr Temple Hospital

Baylor Scott and White McKinney McKinney Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

44 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

TEXAS (cont’d)

Baylor Scott White Med Hillcrest Waco 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

Texas Austin Hospital

Doctors Hospital at Renaissance* Edinburg Hospital

Good Shepherd Medical Center* Longview Hospital

Houston Methodist San Jacinto Hos Baytow n Hospital

Houston Methodist St John Hosp Houston Hospital

Houston Methodist Sugar Land Hosp Sugar Land Hospital

Houston Methodist West Hospital Houston Hospital

Houston Methodist Willow brook Houston Hospital

HSPS Providence Memorial Campus El Paso Hospital

HSPS of Providence Sierra Campus El Paso Hospital

Kingw ood Medical Center* Kingw ood Hospital

Medical Center Hospital* Odessa Hospital

Medical City Fort Worth Fort Worth Hospital

Medical City Lew isville Lew isville Hospital

Memorial Medical Center Livingston Livingston Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

45 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

TEXAS (cont’d)

Methodist Dallas Medical Center Dallas Hospital

Methodist Hospital for Surgery Addison 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 Northw est Hospital Austin Hospital

Texas Orthopedic Hospital Houston Hospital

Texas Spine and Joint Hospital LLP Tyler Hospital

Trophy Club Medical Center Trophy Club Hospital

TX Health Harris Methodist Hosp* Fort Worth Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

46 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

TEXAS (cont’d)

TX Health Presby Hosp Rockw all Rockw all 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 Flow er Mound Flow er Mound Hospital

TX Hlth Presbyterian Hosp Allen Allen Hospital

TX Hlth Presbyterian Hosp Dallas Dallas Hospital

UT Southw estern University Hosp Dallas Hospital

Valley Baptist Medical Center Brow nsville* Brow nsville Hospital

Wadley Regional Medical Center Texarkana Hospital

UTAH

Lakeview Hospital Bountiful Hospital

Lone Peak Hospital Inc* Draper Hospital

Ogden Regional Medical Center* Ogden Hospital

Salt Lake Regional Medical Ctr Salt Lake City Hospital

University Hospital* Salt Lake City Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

47 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

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

Chesapeake General Hospital* Chesapeake Hospital

Fair Oaks Hospital Fairfax Hospital

Fairfax Hospital Falls Church Hospital

Henrico Doctors Hospital Parham Richmond Hospital

Lew isgale Medical Center Salem Hospital

Mary Immaculate Hospital Inc New port New s Hospital

Mary Washington Hospital Inc Fredericksburg Hospital

Maryview Medical Center Portsmouth Hospital

Mount Vernon Hospital Alexandria Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

48 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

VIRGINIA (cont’d)

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

Stafford Hospital Stafford Hospital

UVA Health Sciences Ctr Charlottesville Hospital

Virginia Commonw ealth University Health System

Authority (VCUHA)* Richmond Hospital

Virginia Hospital Center Arlington Arlington Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

49 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

VIRGINIA (cont’d)

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

Colby Campus Everett Hospital

Providence Sacred Heart Medical Center and

Children’s Hospital Spokane Hospital

Providence St Mary Medical Center Walla Walla Hospital

Samaritan Hospital* Moses Lake Hospital

St Anthony Hospital* Gig Harbor Hospital

St Clare Hospital* Lakew ood Hospital

St Elizabeth Hospital* Enumclaw Hospital

St Joseph Medical Center* Tacoma Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

50 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

WASHINGTON (cont’d)

Sw edish Edmonds Edmonds Hospital

Sw edish 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 Morgantow n Hospital

St Marys Medical Center Huntington Hospital

Thomas Memorial Hospital* South Charleston Hospital

United Hospital Center* Bridgeport Hospital

West Virginia University Hospital* Morgantow n Hospital

WISCONSIN

Aurora Baycare Medical Center Green Bay Hospital

Aurora Health Care Metro Milw aukee Hospital

Aurora Lakeland Medical Center Elkhorn Hospital

Aurora Medical Center Grafton Grafton Hospital

Blue Distinction® Centers for Knee and Hip Replacement

*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.

51 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

WISCONSIN (cont’d)

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* Milw aukee Hospital

Gundersen Lutheran Medical Center La Crosse Hospital

How ard Young Medical Center Woodruff Hospital

MCHS Eau Claire Luther Campus Eau Claire Hospital

Mercy Hospital Janesville Hospital

Mercy Medical Center* Oshkosh Hospital

Midw est Orthopedic Specialty Hospital LLC* Franklin Hospital

Oakleaf Surgical Hospital Altoona Hospital

Oconomowoc Memorial Hospital Inc* Oconomowoc Hospital

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

Blue Distinction® Centers for Knee and Hip Replacement

*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.

52 - 52

STATE/FACILITY NAME CITY KNEE AND HIP REPLACEM ENT CENTER TYPE

DESIGNATED BLUE

DISTINCTION CENTER+

DESIGNATED BLUE

DISTINCTION CENTER

WISCONSIN (cont’d)

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

Memorial* Brookfield Hospital

Wheaton Franciscan Healthcare Franklin Franklin Hospital

Wheaton Franciscan Healthcare St Joseph* Milw aukee Hospital

WYOMING

Campbell County Memorial Hospital* Gillette Hospital