CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Havasu Regional Medical Center

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $14,683
Cash Discount Price: $58,606
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Havasu Regional Medical Center is $14,683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58,606. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 1.05x the Medicare baseline. Located in 101 Civic Center Lane, Lake Havasu City, AZ.

Cash / Self-Pay

$58,606

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,683

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: $58,606 (417%)

Insurance Median: $14,683 (105%)

Cash: $58,606 (417% of Medicare)

Ins. Median: $14,683 (105% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Americhoice	$14,538	104%
Health Choice	$14,538	104%
Kaiser	$14,538	104%
Medicare (plans)	$14,538	104%
UnitedHealthcare	$14,538 - $14,974	104%
Wellcare	$14,538	104%
Aetna	$14,683	105%
Humana	$14,683	105%
Devoted Health	$14,974	107%
Phoenix Health	$14,974	107%
Blue Cross Blue Shield	$15,119 - $18,594	108%
University Care	$15,265	109%
Tricare	$21,304	152%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $58,606.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Havasu Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.