CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Baxter Health

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,184

about 1.1× the $14,044 Medicare rate · typically $12,917–$16,493

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,171

Below the fair price — a good deal

about $2,013 under the fair price · 0.9× Medicare

Medicare pays $14,044 Fair price $15,184 This hospital $13,171 Cash price $15,771 Hospital's list price $26,285

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

One of the lower prices — 7 of 8 other AR hospitals charge more for the same procedure.

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 $15,184 (about 1.1× the $14,044 Medicare rate). Baxter Health charges insurers about $13,171, or about $15,771 in cash — below the fair price — a good deal. Located in Mountain Home, 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	$12,788 - $19,659	91%
Blue Cross Blue Shieldmajor	$13,555 - $18,855	97%
Aetnamajor	$12,788	91%
Cignamajor	$3,450	25%
Humanamajor	$12,788 - $13,427	91%
Ambetter (Centene)	$18,542	132%
+ 2 smaller / regional plans	$12,788 - $13,171

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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 15,771), 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 Baxter Health 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 Baxter Health

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

Ouachita County Medical Center · Camden $12,410
Arkansas Heart Hospital, LLC · Little Rock $13,351
National Park Medical Center · Hot Springs $13,511
Lawrence Memorial Hospital · Walnut Ridge $13,943
Mercy Hospital Northwest Arkansas · Rogers $14,282
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.