CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Arkansas Surgical Hospital
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $14,113
- Cash Discount Price: $20,774
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Arkansas Surgical Hospital is $14,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,774. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 1.00x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$20,774
Average discount available for prompt cash payment at this facility.
Insurance Median
$14,113
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$14,044.15
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $14,044.15 (100%)
Cash / Self-Pay: $20,774 (148%)
Insurance Median: $14,113 (100%)
Cash: $20,774 (148% of Medicare)
Ins. Median: $14,113 (100% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $14,044.15 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Municipal Health | $10,122 | 72% |
| Municipal Health Benefit Fund | $10,122 | 72% |
| Aarp | $12,111 | 86% |
| Aarp Supplemental | $12,111 | 86% |
| Aetna | $12,111 - $19,758 | 86% |
| Allianz Resolution Manage | $12,111 | 86% |
| Allwell | $12,111 | 86% |
| Americo | $12,111 | 86% |
| Bankers Fidelity | $12,111 | 86% |
| Bankers Life And Casualty | $12,111 | 86% |
| Blue Cross Blue Shield | $12,111 - $17,312 | 86% |
| Cigna | $12,111 - $17,500 | 86% |
| Healthspring | $12,111 | 86% |
| Hmo Medipak Adv | $12,111 | 86% |
| Hmo Medipak Adv Plan | $12,111 | 86% |
| Humana | $12,111 | 86% |
| Medadvantage | $12,111 | 86% |
| Medicare (plans) | $12,111 | 86% |
| Medipak | $12,111 | 86% |
| Medipak Advantage | $12,111 | 86% |
| Railroad Retirement | $12,111 | 86% |
| Sterling Option 1 | $12,111 | 86% |
| Tricare | $12,111 | 86% |
| UnitedHealthcare | $12,111 - $17,312 | 86% |
| Vantage Health | $12,111 | 86% |
| Vantage Health Plan Inc | $12,111 | 86% |
| Vetern Choice Program | $12,111 | 86% |
| Wellcare | $12,111 | 86% |
| Wps Vapc3 | $12,111 | 86% |
| True Blue | $14,113 | 100% |
| True Blue Metallic | $14,113 | 100% |
| Ambetter / Centene | $14,525 | 103% |
| All Savers | $17,312 | 123% |
| All Savers Insurance | $17,312 | 123% |
| Bind | $17,312 | 123% |
| Blue Advantage | $17,312 | 123% |
| Care First | $17,312 | 123% |
| Freedom Life Ushealth | $17,312 | 123% |
| Geha | $17,312 | 123% |
| Golden Rule | $17,312 | 123% |
| Golden Rule Ins | $17,312 | 123% |
| Golden Rule Insurance | $17,312 | 123% |
| Health Advantage | $17,312 | 123% |
| Healthscope Benefits | $17,312 | 123% |
| Medica | $17,312 | 123% |
| Oxford | $17,312 | 123% |
| Oxford Life | $17,312 | 123% |
| Oxford Life Ins Company | $17,312 | 123% |
| Oxford Life Insurance | $17,312 | 123% |
| Oxford Life Insurance Co | $17,312 | 123% |
| Premera | $17,312 | 123% |
| Surest | $17,312 | 123% |
| United Healtcare Global | $17,312 | 123% |
| United Hlth Shared Servic | $17,312 | 123% |
| Ushealthgroup | $17,312 | 123% |
| Allegiance | $17,500 | 125% |
| Allied Benefit System | $17,500 | 125% |
| Apwu | $17,500 | 125% |
| Apwu Health Plan | $17,500 | 125% |
| Nalc | $17,500 | 125% |
| Nalc Health Benefit Plan | $17,500 | 125% |
| Nalc Medical Claims | $17,500 | 125% |
| Priority Health | $17,500 | 125% |
| Providence Health Plan | $17,500 | 125% |
| S&S Healthcare Strategies | $17,500 | 125% |
| Tufts Health Plan | $17,500 | 125% |
| Qualchoice | $18,166 | 129% |
| Qualchoice Adv Hmo | $18,166 | 129% |
| Qualchoice Exchange | $18,166 | 129% |
| Qualchoice Health Ins | $18,166 | 129% |
| American Continental Life | $19,758 | 141% |