Hip or knee replacement (inpatient stay)
Facility: Casa Colina Hospital
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $21,024
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.50x 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 |
|---|---|---|
| Prospect Hp Mcal | $16,495 | 117% |
| Heritage Prvdr Ntwrk Comm - All Other Plans | $16,532 | 118% |
| Heritage Prvdr Ntwrk Mcr | $16,532 | 118% |
| Aetna | $18,328 - $37,387 | 131% |
| Blue Cross Blue Shield | $18,328 - $57,988 | 131% |
| Blue Shield Mcr Adv | $18,328 | 131% |
| Brand New Day Mcr Adv - All Plans | $18,328 | 131% |
| Central Hlth Plan - All Plans | $18,328 | 131% |
| Epic Comm - All Other Plans | $18,328 | 131% |
| Epic Mcr Adv | $18,328 | 131% |
| Healthcare Partners Mcr | $18,328 | 131% |
| Healthnet Mcr Adv | $18,328 | 131% |
| Humana | $18,328 - $41,335 | 131% |
| Iehp - All Other Plans | $18,328 | 131% |
| Iehp Mcr Adv | $18,328 | 131% |
| Kaiser Mcr Adv | $18,328 | 131% |
| Primecare Mcr Adv | $18,328 | 131% |
| Prospect Hp Mcr Adv | $18,328 | 131% |
| Triwest - All Plans | $18,328 | 131% |
| UnitedHealthcare | $18,328 - $35,893 | 131% |
| Wellcare Mcr Adv - All Plans | $18,328 | 131% |
| Cigna | $18,891 | 135% |
| Prospect Hp Comm - All Other Plans | $20,161 | 144% |
| Blue Shield Comm - All Other Plans | $21,887 | 156% |
| Primecare Comm - All Other Plans | $22,910 | 163% |
| Healthnet Comm - All Other Plans | $25,109 | 179% |
| Kaiser Comm - All Other Plans | $28,395 | 202% |
| Affiliated Hlth Funds - All Plans | $30,912 | 220% |
| Caremore Mcr Adv - All Plans | $34,332 | 244% |
| Healthcare Partners - All Other Plans | $38,888 | 277% |
| Corvel - All Plans | $46,403 | 330% |
| Coventry - All Plans | $46,403 | 330% |
| Multiplan - All Plans | $46,403 | 330% |
| Heritage Prvdr Ntwrk Mcal | $48,177 | 343% |
| Iehp Mcal | $48,177 | 343% |
| Medi-Cal | $48,177 | 343% |
| Kaiser Mcal | $52,992 | 377% |
| Galaxy Provdr Ntwrk - All Plans | $55,348 | 394% |
| Prospect Med Grp Alta - All Plans | $67,209 | 479% |
| Three Rivers - All Plans | $71,162 | 507% |
| Focus Healthcare Wc - All Plans | $72,744 | 518% |