CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Baptist Memorial Hospital Union County
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $23,498
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Baptist Memorial Hospital Union County is $23,498. 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 1.67x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$23,498
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: $23,498 (167%)
Ins. Median: $23,498 (167% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $3,897 - $13,446 | 28% |
| Triwest | $12,532 | 89% |
| Vaccn | $13,055 | 93% |
| Devoted Health | $13,316 | 95% |
| Aetna | $13,707 | 98% |
| American Health Plan | $13,707 | 98% |
| Humana | $13,707 | 98% |
| Shared Health | $13,707 | 98% |
| Mpcn | $15,650 | 111% |
| Delta Industries | $16,027 | 114% |
| French Camp Academy | $16,027 | 114% |
| Hattiesburg Clinic | $16,027 | 114% |
| Heartland Catfish Company | $16,027 | 114% |
| Minact | $16,027 | 114% |
| W G Yates | $16,027 | 114% |
| First Choice Health Plan Of Ms | $16,592 - $31,213 | 118% |
| UnitedHealthcare | $17,594 - $25,941 | 125% |
| Advanced Health Systems Inc. | $18,855 | 134% |
| Magnolia Ms | $20,775 | 148% |
| Burch Food Services | $22,193 | 158% |
| First State Bank Trust | $22,193 | 158% |
| Harding Academy | $22,846 | 163% |
| Arlington Community Schools | $23,498 | 167% |
| Armstrong Relocation | $23,498 | 167% |
| Ashley Furniture Stores | $23,498 | 167% |
| Bartlett City Schools | $23,498 | 167% |
| Brimhall Foods | $23,498 | 167% |
| Building Plastic | $23,498 | 167% |
| Cannon Motor Company | $23,498 | 167% |
| Carlisle | $23,498 | 167% |
| City Of Bartlett | $23,498 | 167% |
| City Of Lakeland | $23,498 | 167% |
| Collierville Schools | $23,498 | 167% |
| Crittenden County | $23,498 | 167% |
| Davidson Hospitality | $23,498 | 167% |
| Desoto Co Board Of Supervisors | $23,498 | 167% |
| Dunn Investment Company | $23,498 | 167% |
| Eas Mssc Schools | $23,498 | 167% |
| First Community Bank | $23,498 | 167% |
| Gossett Motor Cars | $23,498 | 167% |
| Heavy Machines | $23,498 | 167% |
| Hollowell Industries | $23,498 | 167% |
| Hospitality Management Advisors | $23,498 | 167% |
| Jas D Collier | $23,498 | 167% |
| Lakeland School System | $23,498 | 167% |
| Malco Theaters | $23,498 | 167% |
| Mechanical Systems | $23,498 | 167% |
| Mid-South Transport | $23,498 | 167% |
| Patterson Warehouses | $23,498 | 167% |
| Radians | $23,498 | 167% |
| Rei Nation | $23,498 | 167% |
| Retzer Resources | $23,498 | 167% |
| Ritchey Automotive | $23,498 | 167% |
| Security One | $23,498 | 167% |
| Silver Tree | $23,498 | 167% |
| State Systems | $23,498 | 167% |
| Town Of Collierville | $23,498 | 167% |
| United Tn Holdings | $23,498 | 167% |
| Vaughn Electric | $23,498 | 167% |
| W W Wood Products | $23,498 | 167% |
| Watkins Uiberall | $23,498 | 167% |
| Y K Auto Group | $23,498 | 167% |
| Molina | $24,151 | 172% |
| Employers Health Network | $26,109 | 186% |
| Primewell | $30,026 | 214% |