CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Anaheim Global Medical Center
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $23,188
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Anaheim Global Medical Center is $23,188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 1.65x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$23,188
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%)
Insurance Median: $23,188 (165%)
Ins. Median: $23,188 (165% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Primecare Medical Network Inc | $1,800 | 13% |
| Healthcare Partners Hmo | $2,375 | 17% |
| Health Net | $2,700 - $48,324 | 19% |
| Altamed Health Services | $2,800 - $3,548 | 20% |
| Heritage Provider Network | $3,189 - $23,188 | 23% |
| Altamed | $3,548 - $23,188 | 25% |
| Monarch Health Plan | $3,604 | 26% |
| Cigna | $8,462 | 60% |
| Humana | $17,847 | 127% |
| Victim Of Violent Crime | $18,551 | 132% |
| Victim Of Violent Crime (Mep) | $18,551 | 132% |
| Health Net Inc | $21,909 - $57,716 | 156% |
| Onecare | $22,493 | 160% |
| Aetna | $23,188 | 165% |
| Astiva | $23,188 | 165% |
| Blue Shield Of California | $23,188 - $46,840 | 165% |
| California Health Plan | $23,188 | 165% |
| Caloptima | $23,188 | 165% |
| Central Health Plan Of California Inc | $23,188 | 165% |
| Choice Physicians Network | $23,188 | 165% |
| Citizens Choice | $23,188 | 165% |
| Clever Care Health Plan | $23,188 | 165% |
| Easy Choice | $23,188 | 165% |
| For Your Benefit | $23,188 | 165% |
| Healthcare Partners Sr Hmo | $23,188 | 165% |
| Hollywood Presbyerian | $23,188 | 165% |
| Imperial Health Plan Of Ca | $23,188 | 165% |
| Innovative Integrated Health | $23,188 | 165% |
| Kaiser | $23,188 | 165% |
| Medcare Partners Health Plan | $23,188 | 165% |
| Medicare (plans) | $23,188 | 165% |
| Monarch | $23,188 | 165% |
| Other Sr Non Contract | $23,188 | 165% |
| Physicians For Healthy Hospitals | $23,188 | 165% |
| Prospect Health Plan | $23,188 - $34,782 | 165% |
| Scan | $23,188 | 165% |
| Self Pay/Ab774/Cbo Use Only | $23,188 | 165% |
| St Joseph Hospital Sr | $23,188 | 165% |
| UnitedHealthcare | $23,188 | 165% |
| Us Dept Of Labor | $23,188 | 165% |
| Us Federal Marshall/Department Of Immigration | $23,188 | 165% |
| Velocity National Provider Network Sr | $23,188 | 165% |
| Verda Health Plan | $23,188 | 165% |
| Veterans Administration | $23,188 | 165% |
| Victoria Hospice | $23,188 | 165% |
| Prime Health Services | $23,461 - $26,667 | 167% |
| Brand New Day | $24,580 - $28,985 | 175% |
| Champion Health Plan | $25,043 | 178% |
| Naphcare | $27,663 | 197% |
| County Of Orange | $28,985 | 206% |
| Coventry Health | $31,414 - $32,636 | 224% |
| Interplan | $31,763 | 226% |
| Multiplan | $34,207 | 244% |
| Three Rivers Network | $34,207 - $40,580 | 244% |
| State Of California | $34,905 | 249% |
| Velocity National Provider Network Wc | $34,905 | 249% |
| Velocity National Provider Network Ppo | $40,580 | 289% |