Hip or knee replacement (inpatient stay)
Facility: Monterey Park Hospital
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $4,866
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.35x 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 |
|---|---|---|
| Health Net | $1,500 - $20,976 | 11% |
| Health Net Of California | $1,600 - $24,382 | 11% |
| Scan Health Plan | $1,620 | 12% |
| La Care Health Plan | $1,700 - $20,976 | 12% |
| Care 1St Health Plan | $1,750 | 12% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,850 | 13% |
| Ahmc Healthcare Inc | $1,937 - $6,556 | 14% |
| Aetna | $2,574 - $20,976 | 18% |
| Healthcare Partners Affiliates Medical Group | $2,632 | 19% |
| Health Net Inc | $2,715 - $33,635 | 19% |
| La Care | $2,750 | 20% |
| Altamed Health Network | $3,000 | 21% |
| One Legacy | $3,000 | 21% |
| Ahmc Health Epo | $3,950 | 28% |
| Blue Cross Blue Shield | $3,993 - $21,369 | 28% |
| Blue Shield Of California | $4,116 - $21,369 | 29% |
| Cigna | $6,805 | 48% |
| Veterans Administration | $14,958 | 107% |
| Senior Citizens Choice | $18,879 | 134% |
| Humana | $20,557 | 146% |
| Alignment Health Plan | $20,662 | 147% |
| Aids Health Foundation | $20,976 | 149% |
| Alta Med Health Services Corp | $20,976 | 149% |
| Apa/Aco Inc | $20,976 | 149% |
| Avanti | $20,976 - $25,643 | 149% |
| Beverly Hospital | $20,976 - $23,506 | 149% |
| Brand New Day | $20,976 - $26,711 | 149% |
| Cms | $20,976 | 149% |
| Easy Choice Health Plan | $20,976 | 149% |
| Medicare (plans) | $20,976 - $22,025 | 149% |
| Secure Horizons | $20,976 | 149% |
| Ucla/Impact Cancer | $20,976 | 149% |
| UnitedHealthcare | $20,976 | 149% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $21,369 | 152% |
| Emanate Health | $21,369 - $26,711 | 152% |
| La Care Covered Direct | $21,369 | 152% |
| Self-Pay | $21,369 | 152% |
| Molina Healthcare Medi-Connect | $22,025 | 157% |
| San Miguel Health Plan | $23,506 | 167% |
| Knox-Keene Act | $26,711 | 190% |
| Molina Healthcare Of California | $26,711 | 190% |
| First Health Senior | $29,607 | 211% |
| Preferred Health Network | $35,712 | 254% |
| Interplan | $36,464 | 260% |
| Athens Administrators | $37,591 | 268% |
| Indemnity W Comp Fee Schedule | $37,591 | 268% |
| Multiplan | $37,591 | 268% |