CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Southeast Georgia Health System- Brunswick Campus

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $37,980
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Southeast Georgia Health System- Brunswick Campus is $37,980. 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 2.70x the Medicare baseline. Located in 2415 Parkwood Drive, Brunswick, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$37,980

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: $37,980 (270%)

Ins. Median: $37,980 (270% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 270% of the Medicare baseline (a markup of 170%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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 Cross Blue Shield	$17,579 - $37,980	125%
Caresource	$17,579 - $26,369	125%
Humana	$17,579 - $47,609	125%
UnitedHealthcare	$17,579	125%
United_Healthcare_Veterans_Administration	$17,579	125%
Aetna	$17,931 - $45,470	128%
Clover_Health	$17,931	128%
Devoted_Health	$18,282	130%
Pruitthealth	$18,282	130%
Ambetter / Centene	$28,127	200%
Sea_Island	$37,980	270%
Sghs_Meritain	$37,980	270%
Coventryone_Hix	$40,655	289%
United_Healthcare	$41,297	294%
Medishare	$45,470	324%
Choicecare	$47,609	339%
Cigna	$47,609	339%
Industry_Buying_Group_Ibg	$47,609	339%
First_Health_Southcare	$48,144	343%
One_Health_Great_West	$48,144	343%
Pponext	$50,819	362%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southeast Georgia Health System- Brunswick Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.