Hip or knee replacement (inpatient stay)
Facility: Adventist Health White Memorial Montebello
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $22,855
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.63x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed Mcal | $11,000 | 78% |
| Blue Cross Blue Shield | $12,965 | 92% |
| Altamed Mcare-All Other Plans | $15,500 | 110% |
| Blue Shield Epn Ifp | $19,270 | 137% |
| Aetna | $19,307 - $30,153 | 137% |
| Alignment Health Plan-All Plans | $19,307 | 137% |
| Blue Shield Mcare Adv | $19,307 | 137% |
| Brand New Day Mcare-All Other Plans | $19,307 | 137% |
| Brandman Health Plan-All Plans | $19,307 | 137% |
| Clever Care Hp-All Plans | $19,307 | 137% |
| Easy Choice Mcare Adv-All Plans | $19,307 | 137% |
| Kaiser Mcare Adv | $19,307 | 137% |
| Scan Health-All Plans | $19,307 | 137% |
| Oscar-All Plans | $20,273 | 144% |
| Bc Mcal | $22,855 | 163% |
| Blue Shield Promise Mcal | $22,855 | 163% |
| Brand New Day Mcal | $22,855 | 163% |
| Healthnet Mcal | $22,855 | 163% |
| Kaiser Mcal | $22,855 | 163% |
| La Care Mcal | $22,855 | 163% |
| Medi-Cal | $22,855 | 163% |
| Molina Mcal - All Plans | $22,855 | 163% |
| Cigna | $26,189 | 186% |
| Blue Shield Epn Core | $32,522 | 232% |
| Blue Shield Comm - All Other Plans | $33,070 | 235% |
| Healthcare Partners-All Plans | $33,468 | 238% |
| Caremore-All Plans | $33,648 | 240% |
| UnitedHealthcare | $34,855 | 248% |
| Healthnet Med Adv | $43,918 | 313% |
| Healthnet Comm-All Other Plans | $48,071 | 342% |
| Healthnet Salud | $53,674 | 382% |