CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mercy Hospital Northwest Arkansas

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,307

about 1.1× the $14,044 Medicare rate · typically $11,656–$15,523

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,282

About the fair price

about $1,025 under the fair price · 1.0× Medicare

Medicare pays $14,044 Fair price $15,307 This hospital $14,282 Cash price $30,206 Hospital's list price $46,471

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

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

Cheapest $12,410 Priciest $15,656

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

A fair price for a Hip or knee replacement (inpatient stay) is about $15,307 (about 1.1× the $14,044 Medicare rate). Mercy Hospital Northwest Arkansas charges insurers about $14,282, or about $30,206 in cash — about the fair price. Located in Rogers, AR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$14,282 - $20,763	102%
Blue Cross Blue Shieldmajor	$14,282 - $21,025	102%
Aetnamajor	$8,277 - $19,040	59%
Cignamajor	$14,282 - $20,493	102%
Humanamajor	$8,277 - $18,417	59%
Ambetter (Centene)	$15,045	107%
Independent Health	$14,282	102%
+ 36 smaller / regional plans	$12,220 - $25,311

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

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 30,206), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Northwest Arkansas is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Northwest Arkansas

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

Ouachita County Medical Center · Camden $12,410
Baxter Health · Mountain Home $13,171
Arkansas Heart Hospital, LLC · Little Rock $13,351
National Park Medical Center · Hot Springs $13,511
Lawrence Memorial Hospital · Walnut Ridge $13,943
Conway Regional Medical Center, Inc · Conway $14,482
Mercy Hospital Fort Smith · Fort Smith $14,651
St Vincent Medical Center/North · Sherwood $15,656

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