CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Overland Park Reg Med Ctr

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,963

about 1.1× the $14,044 Medicare rate · typically $13,574–$21,691

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,541

About the fair price

about $422 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $15,963 This hospital $15,541

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $8,892 Priciest $15,541

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $15,963 (about 1.1× the $14,044 Medicare rate). Overland Park Reg Med Ctr charges insurers about $15,541 — about the fair price. Located in Overland Park, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,428 - $43,819	17%
Blue Cross Blue Shieldmajor	$15,010 - $56,184	107%
Aetnamajor	$13,208 - $37,353	94%
Cignamajor	$15,768 - $42,953	112%
Humanamajor	$4,466 - $15,162	32%
Ambetter (Centene)	$21,797	155%
Amerigroup	$12,700	90%
Devoted Health	$15,465	110%
Oscar Health	$20,986	149%
UniCare	$13,208	94%
WellCare	$15,465	110%
+ 8 smaller / regional plans	$2,022 - $29,705

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Overland Park Reg Med Ctr is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Overland Park Reg Med Ctr

Compare: Hip or knee replacement (inpatient stay) at other KS hospitals

Rehabilitation Hospital of Overland Park · Overland Park $8,892
Children's Mercy South · Overland Park $9,956
Scott County Hospital · Scott City $10,421
William Newton Hospital · Winfield $10,421
Holton Community Hospital · Holton $11,434
Manhattan Surgical Hospital LLC · Manhattan $11,941
Kansas Spine & Specialty Hospital, LLC · Wichita $12,600
Mercy Specialty Hospital Southeast Kansas · Galena $13,110

Insurance negotiated median for the same procedure, sorted lowest first.