CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Baptist Memorial Hospital North Ms
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $24,158
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Baptist Memorial Hospital North Ms is $24,158. 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 1.72x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$24,158
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: $24,158 (172%)
Ins. Median: $24,158 (172% 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 |
|---|---|---|
| Triwest | $12,884 | 92% |
| Vaccn | $13,421 | 96% |
| Devoted Health | $13,690 | 97% |
| Blue Cross Blue Shield | $13,824 - $26,861 | 98% |
| Aetna | $14,092 | 100% |
| American Health Plan | $14,092 | 100% |
| Humana | $14,092 | 100% |
| Shared Health | $14,092 | 100% |
| Mpcn | $15,650 | 111% |
| First Choice Health Plan Of Ms | $16,592 - $31,213 | 118% |
| Delta Industries | $17,441 | 124% |
| French Camp Academy | $17,441 | 124% |
| Hattiesburg Clinic | $17,441 | 124% |
| Heartland Catfish Company | $17,441 | 124% |
| Minact | $17,441 | 124% |
| W G Yates | $17,441 | 124% |
| UnitedHealthcare | $17,594 - $25,960 | 125% |
| Advanced Health Systems Inc. | $18,855 | 134% |
| Magnolia Ms | $19,636 | 140% |
| Brimhall Foods | $20,132 | 143% |
| Burch Food Services | $22,816 | 162% |
| First State Bank Trust | $22,816 | 162% |
| Harding Academy | $23,487 | 167% |
| Arlington Community Schools | $24,158 | 172% |
| Armstrong Relocation | $24,158 | 172% |
| Ashley Furniture Stores | $24,158 | 172% |
| Bartlett City Schools | $24,158 | 172% |
| Building Plastic | $24,158 | 172% |
| Cannon Motor Company | $24,158 | 172% |
| Carlisle | $24,158 | 172% |
| City Of Bartlett | $24,158 | 172% |
| City Of Lakeland | $24,158 | 172% |
| Collierville Schools | $24,158 | 172% |
| Crittenden County | $24,158 | 172% |
| Davidson Hospitality | $24,158 | 172% |
| Desoto Co Board Of Supervisors | $24,158 | 172% |
| Dunn Investment Company | $24,158 | 172% |
| Eas Mssc Schools | $24,158 | 172% |
| First Community Bank | $24,158 | 172% |
| Gossett Motor Cars | $24,158 | 172% |
| Heavy Machines | $24,158 | 172% |
| Hollowell Industries | $24,158 | 172% |
| Hospitality Management Advisors | $24,158 | 172% |
| Jas D Collier | $24,158 | 172% |
| Lakeland School System | $24,158 | 172% |
| Malco Theaters | $24,158 | 172% |
| Mechanical Systems | $24,158 | 172% |
| Mid-South Transport | $24,158 | 172% |
| Patterson Warehouses | $24,158 | 172% |
| Radians | $24,158 | 172% |
| Rei Nation | $24,158 | 172% |
| Retzer Resources | $24,158 | 172% |
| Ritchey Automotive | $24,158 | 172% |
| Security One | $24,158 | 172% |
| Silver Tree | $24,158 | 172% |
| State Systems | $24,158 | 172% |
| Town Of Collierville | $24,158 | 172% |
| United Tn Holdings | $24,158 | 172% |
| Vaughn Electric | $24,158 | 172% |
| W W Wood Products | $24,158 | 172% |
| Watkins Uiberall | $24,158 | 172% |
| Y K Auto Group | $24,158 | 172% |
| Molina | $24,829 | 177% |
| Employers Health Network | $26,842 | 191% |
| Primewell | $30,869 | 220% |