CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Parkland Health Center

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $16,802
Cash Discount Price: $29,049
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Parkland Health Center is $16,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29,049. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 1.20x the Medicare baseline. Located in 1101 W Liberty, Farmington, MO.

Cash / Self-Pay

$29,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$16,802

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%)

Cash / Self-Pay: $29,049 (207%)

Insurance Median: $16,802 (120%)

Cash: $29,049 (207% of Medicare)

Ins. Median: $16,802 (120% 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
Aetna	$16,002	114%
Blue Cross Blue Shield	$16,002 - $32,825	114%
Essence Healthcare [221]	$16,002	114%
Humana	$16,002	114%
UnitedHealthcare	$16,002 - $32,328	114%
Cox Health [757]	$16,802	120%
Devoted Health Plan [847]	$16,802	120%
Medica [662]	$16,802	120%
Consociate [478]	$20,246 - $23,284	144%
Health Alliance [224]	$21,414	152%
Sarah Bush Lincoln [636]	$23,284	166%
Healthscope Benefits [258]	$32,328	230%

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 $29,049.
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 Parkland Health 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.