CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Methodist Healthcare - Olive Branch Hospital

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $14,684
Cash Discount Price: $15,419
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Methodist Healthcare - Olive Branch Hospital is $14,684. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,419. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 1.05x the Medicare baseline. Located in 4250 Bethel Road, Olive Branch, MS.

Cash / Self-Pay

$15,419

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,684

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: $15,419 (110%)

Insurance Median: $14,684 (105%)

Cash: $15,419 (110% of Medicare)

Ins. Median: $14,684 (105% 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
Medicaid / KanCare	$2,500 - $10,571	18%
UnitedHealthcare	$11,438 - $31,636	81%
Tricare	$12,191	87%
American Health Advantage Mcr Adv [450117]	$14,684	105%
Blue Cross Blue Shield	$14,684 - $21,218	105%
Carecentrix [450200]	$14,684	105%
Devoted Health [450111]	$14,684	105%
Generic Hospice Vbid [10940000101]	$14,684	105%
Humana	$14,684	105%
Medicare (plans)	$14,684 - $15,739	105%
Va Hospital [600005]	$14,684	105%
Health Plans Inc [100282]	$16,867	120%
Cigna	$16,876 - $34,636	120%
United Food & Commercial Workers [100309]	$34,636	247%

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 $15,419.
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 Methodist Healthcare - Olive Branch Hospital 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.