CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Christus Coushatta Health Care Center

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $2,287
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.16x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Christus Coushatta Health Care Center is $2,287. 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 0.16x the Medicare baseline. Located in 1635 Marvel Street, Coushatta, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,287

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: $2,287 (16%)

Ins. Median: $2,287 (16% 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.

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
Healthcare Highways	$1,500	11%
Verity Healthnet	$1,500	11%
Aetna	$2,079 - $3,186	15%
Arcadian Health Plan	$2,079	15%
Blue Cross Blue Shield	$2,079	15%
Christus Health	$2,079 - $2,911	15%
Coventry	$2,079	15%
Humana	$2,079 - $3,095	15%
Triwest	$2,079	15%
UnitedHealthcare	$2,079 - $20,086	15%
Vantage Health Plan Inc.	$2,079 - $31,518	15%
Dignity Health	$2,141	15%
Peoples Health	$2,141	15%
Wellcare	$2,183	16%
Allyalign Health	$2,287	16%
Medicare (plans)	$2,287	16%
Amerihealth Caritas Louisiana	$3,034	22%
Healthy Blue Louisiana	$3,034	22%
Louisiana Healthcare Connections	$3,034	22%
Texas Childrens Health Plan	$3,186	23%
Five Point Credit Union	$4,190 - $10,056	30%
Lsu First Choice Verity	$13,802	98%

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 Christus Coushatta Health Care Center 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.