Hip or knee replacement (inpatient stay)
Facility: Chapman Global Medical Center
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $18,497
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.32x 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 |
|---|---|---|
| Healthcare Partners Hmo | $2,375 | 17% |
| Health Net | $2,700 - $45,651 | 19% |
| Scan/Altamed | $2,800 | 20% |
| Heritage Provider Network | $3,189 - $18,497 | 23% |
| Altamed | $3,548 - $18,497 | 25% |
| Altamed Health Services | $3,548 | 25% |
| Monarch Health Plan | $3,610 | 26% |
| Cigna | $8,462 | 60% |
| Victim Of Violent Crime | $14,798 | 105% |
| Onecare | $17,572 - $18,497 | 125% |
| Humana | $17,658 | 126% |
| Aetna | $18,497 | 132% |
| Apex Hospice | $18,497 | 132% |
| Astiva | $18,497 | 132% |
| Blue Shield Of California | $18,497 - $49,018 | 132% |
| Caloptima | $18,497 | 132% |
| Central Health Plan | $18,497 | 132% |
| Choice Physicians Network | $18,497 | 132% |
| Citizen Choice Health Plan | $18,497 | 132% |
| Clever Care | $18,497 | 132% |
| Easy Choice | $18,497 | 132% |
| For Your Benefit | $18,497 | 132% |
| Healthcare Partners Sr Hmo | $18,497 | 132% |
| Hollywood Presbyterian | $18,497 | 132% |
| Imperial Health Plan Of Ca | $18,497 | 132% |
| Innovative Integrated Health | $18,497 | 132% |
| Kaiser | $18,497 | 132% |
| Medcare Partners Health Plan | $18,497 | 132% |
| Medicare (plans) | $18,497 | 132% |
| Monarch Sr | $18,497 | 132% |
| Onecare/Connect | $18,497 | 132% |
| Prospect Health Plan | $18,497 - $27,746 | 132% |
| Scan Health Plan | $18,497 | 132% |
| Self Pay | $18,497 | 132% |
| St Joseph | $18,497 | 132% |
| UnitedHealthcare | $18,497 | 132% |
| Us Department Of Labor/Workers Comp | $18,497 | 132% |
| Us Federal Marshall/Department Of Immigration | $18,497 | 132% |
| Velocity National Provider Network Sr | $18,497 | 132% |
| Verda Health Plan | $18,497 | 132% |
| Veterans Administration | $18,497 | 132% |
| Victoria Hospice | $18,497 | 132% |
| Brand New Day | $19,607 - $23,122 | 140% |
| Champion Health Plan | $19,977 | 142% |
| Prime Health Services | $21,272 - $23,461 | 151% |
| County Of Orange | $23,122 | 165% |
| Coventry Health | $26,133 - $27,584 | 186% |
| Interplan | $26,423 | 188% |
| Silverado Hospice | $27,601 | 197% |
| Multiplan | $28,455 | 203% |
| Three Rivers Wc | $28,455 | 203% |
| Indemnity Workers Comp California Fee Schedule | $29,036 | 207% |
| Velocity National Provider Network Wc | $29,036 | 207% |
| Three Rivers Network | $32,370 | 230% |
| Velocity National Provider Network Ppo | $32,370 | 230% |