CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$15,119

about 1.1× the $14,044 Medicare rate · typically $14,276–$19,189

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,110

Below the fair price — a good deal

about $2,009 under the fair price · 0.9× Medicare

Medicare pays $14,044 Fair price $15,119 This hospital $13,110 Cash price $37,946 Hospital's list price $58,379

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

On the higher side — 7 of 8 other KS hospitals charge less.

Cheapest $8,892 Priciest $13,498

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 $15,119 (about 1.1× the $14,044 Medicare rate). Mercy Specialty Hospital Southeast Kansas charges insurers about $13,110, or about $37,946 in cash — below the fair price — a good deal. Located in Galena, 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	$13,110 - $18,112	93%
Blue Cross Blue Shieldmajor	$10,421 - $18,249	74%
Aetnamajor	$8,277 - $13,110	59%
Cignamajor	$13,110 - $22,975	93%
Humanamajor	$8,277	59%
Medica	$16,180	115%
+ 25 smaller / regional plans	$13,110 - $24,254

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (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 (about 37,946), 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 Mercy Specialty Hospital Southeast Kansas 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 Mercy Specialty Hospital Southeast Kansas

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
Saint John Hospital · Leavenworth $13,498

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