Hip or knee replacement (inpatient stay)
Facility: Merit Health Central
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $20,407
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.45x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ms Dept Of Rehabilitation Services | $2,838 | 20% |
| First Choice Ppo Plus | $3,396 | 24% |
| Medicaid / KanCare | $8,277 | 59% |
| Cigna | $15,508 - $20,407 | 110% |
| First Choice Mpcn Standard | $16,561 | 118% |
| First Choice Preferred | $18,676 | 133% |
| Seven Corners | $19,482 | 139% |
| Humana | $20,007 | 142% |
| Medicare (plans) | $20,007 | 142% |
| Node First Choice Shared Health Of Ms Mcr Adv | $20,007 | 142% |
| Node Vantage Health Mcr Adv | $20,007 | 142% |
| UnitedHealthcare | $20,007 - $26,702 | 142% |
| Node Magnolia Mcr Adv | $20,207 | 144% |
| Molina | $20,407 | 145% |
| Node Devoted Health Mcr Adv | $20,407 | 145% |
| Node First Choice American Health Of Ms Mcr Adv | $20,407 | 145% |
| First Choice Lgp | $20,525 | 146% |
| Aetna | $20,606 | 147% |
| Node First Choice Wellcare Mcr Adv | $20,788 | 148% |
| Node Va | $20,788 | 148% |
| Molina Exchange | $20,971 | 149% |
| Advanced Health Systems | $21,218 | 151% |
| Node Healthy Mississippi Mcr Adv | $22,418 | 160% |
| Blue Cross Blue Shield | $23,322 | 166% |
| Prime Work Comp | $24,315 | 173% |
| Ms Work Comp | $26,050 | 185% |
| Node Us Dept Of Labor | $28,849 | 205% |
| Occunet | $30,570 | 218% |
| Magnolia Exchange | $35,665 | 254% |
| Vantage Health Commercial | $40,760 | 290% |