CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Specialty Hospital of Hammond

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$24,784

about 1.8× the $14,044 Medicare rate · typically $12,263–$38,547

modeled estimate · not a bill or quote

What this hospital charges insurers

$27,853

About the fair price

about $3,069 over the fair price · 2.0× Medicare

Medicare pays $14,044 Fair price $24,784 This hospital $27,853

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 $27,853

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 $24,784 (about 1.8× the $14,044 Medicare rate). PAM Specialty Hospital of Hammond charges insurers about $27,853 — about the fair price. Located in Hammond, LA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$27,853	198%
Aetnamajor	$27,853	198%
Humanamajor	$26,460	188%
Ambetter (Centene)	$27,853	198%
Health Net	$27,853	198%
WellCare	$27,853	198%
+ 2 smaller / regional plans	$25,068 - $27,853

Excludes 3 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 PAM Specialty Hospital of Hammond 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 PAM Specialty Hospital of Hammond

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.