Hip or knee replacement (inpatient stay)
Facility: Desert Valley Hospital
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $19,498
- Cash Discount Price: $19,498
- vs. Medicare Baseline: 1.39x 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 |
|---|---|---|
| Blue Shield Of Ca | $18,531 - $22,481 | 132% |
| Aetna | $18,718 - $29,325 | 133% |
| Alignment | $18,718 | 133% |
| Blue Cross Blue Shield | $18,718 | 133% |
| Blue Shield Of Promise | $18,718 | 133% |
| Choice Physicians Network | $18,718 | 133% |
| Elite Health Plan | $18,718 | 133% |
| Epic Health Plan | $18,718 - $27,298 | 133% |
| Health Net Of Ca | $18,718 - $36,033 | 133% |
| Heritage Victor Valley Medical Group | $18,718 - $25,348 | 133% |
| High Desert Pace | $18,718 | 133% |
| High Desert Primary Care | $18,718 - $31,197 | 133% |
| Inland Empire Health Plan | $18,718 - $24,373 | 133% |
| Medicare (plans) | $18,718 - $19,498 | 133% |
| Molina | $18,718 - $19,498 | 133% |
| Renal Payor Solutions | $18,718 | 133% |
| The Geo Group Inc | $18,718 | 133% |
| UnitedHealthcare | $18,718 | 133% |
| Vantage Care | $18,718 | 133% |
| Brand New Day | $18,905 | 135% |
| Inland Empire Foundation For Medical Care | $19,498 | 139% |
| Tricare | $19,498 - $26,600 | 139% |
| Imperial Health Plan Of Ca | $19,841 | 141% |
| Employer Direct Healthcare | $25,348 | 180% |
| Wellpath | $25,830 | 184% |
| Naphcare | $27,298 | 194% |
| Prime Health Services Inc | $28,589 | 204% |
| Workers Compensation | $30,231 | 215% |
| National Healthcare Solutions, Inc (Nhsi) | $31,197 | 222% |