CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,894

about 1.2× the $14,044 Medicare rate · typically $15,229–$21,047

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,370

About the fair price

about $476 over the fair price · 1.2× Medicare

Medicare pays $14,044 Fair price $16,894 This hospital $17,370

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $11,530 Priciest $17,370

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

A fair price for a Hip or knee replacement (inpatient stay) is about $16,894 (about 1.2× the $14,044 Medicare rate). Terrebonne General Medical Center - Parish charges insurers about $17,370 — about the fair price. Located in Houma, LA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$13,040 - $23,399	93%
Blue Cross Blue Shieldmajor	$13,040 - $32,461	93%
Aetnamajor	$17,013	121%
Humanamajor	$13,040 - $19,648	93%
+ 4 smaller / regional plans	$13,935 - $30,523

Government programs also on file: Medicare, 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, 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 Terrebonne General Medical Center - Parish 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 Terrebonne General Medical Center - Parish

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

St Tammany Parish Hospital · Covington $11,530
Sabine Medical Center · Many $12,027
Christus Ochsner Lake Area Hospital · Lake Charles $12,129
Minden Medical Center · Minden $12,133
Winn Parish Medical Center · Winnfield $12,178
Christus Ochsner St Patrick Hospital · Lake Charles $12,338
Lafayette Surgical Specialty Hospital · Lafayette $12,370
Christus St Frances Cabrini Hospital · Alexandria $12,419

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