CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: University Medical Center
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $4,380
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.31x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at University Medical Center is $4,380. 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 0.31x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,380
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: $4,380 (31%)
Ins. Median: $4,380 (31% 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 |
|---|---|---|
| Ambetter / Centene | $1,538 - $32,346 | 11% |
| Blue Cross Blue Shield | $1,538 - $20,869 | 11% |
| Molina | $1,538 - $30,886 | 11% |
| Sierra Health And Life | $1,538 - $20,869 | 11% |
| American Postal Workers Health Plan | $2,925 - $24,961 | 21% |
| Las Vegas Sand Corps | $2,925 - $24,961 | 21% |
| Surest | $2,925 - $24,961 | 21% |
| UnitedHealthcare | $2,925 - $24,961 | 21% |
| Arroweye Solutions | $3,284 | 23% |
| Dignity Health | $3,284 | 23% |
| Golden Entertainment | $3,284 | 23% |
| Golden Nugget Hotel & Casino | $3,284 | 23% |
| Marshall Retail Group | $3,284 | 23% |
| P3 Health Partners | $3,284 | 23% |
| Pli Las Vegas | $3,284 | 23% |
| Rebel Oil Company | $3,284 | 23% |
| State Of Nevada | $3,284 | 23% |
| Stations Casinos | $3,284 | 23% |
| Teacher'S Health Trust | $3,284 | 23% |
| Truline Corporation | $3,284 | 23% |
| Venetian/Palazzo | $3,284 | 23% |
| California Ironwork Field Welfare | $3,337 | 24% |
| Operating Engineers | $3,337 - $3,403 | 24% |
| Sheet Metal Workers | $3,337 | 24% |
| So Ca Pipe Trades H&W | $3,337 | 24% |
| Southwest Carpenters H&W | $3,337 | 24% |
| Boyd Group | $3,403 | 24% |
| Bricklayers Local 13 | $3,403 | 24% |
| Caesar'S Entertainment | $3,403 | 24% |
| Cement Masons & Plasters H&W | $3,403 | 24% |
| City Of Henderson | $3,403 | 24% |
| City Of North Las Vegas | $3,403 | 24% |
| Clark County Epo | $3,403 | 24% |
| Clark County Firefighters 1908 | $3,403 | 24% |
| Clark County Self Funded | $3,403 | 24% |
| Culinary Workers Hwf | $3,403 | 24% |
| Electrical Workers | $3,403 | 24% |
| Employee Painters Trust | $3,403 | 24% |
| Laborers Health And Welfare | $3,403 | 24% |
| Las Vegas Firefighters 1285 | $3,403 | 24% |
| Las Vegas Metro Police Dept | $3,403 | 24% |
| Mgm Grand | $3,403 | 24% |
| Mirage Las Vegas | $3,403 | 24% |
| Nevada Hand | $3,403 | 24% |
| Plumbers & Pipefitters Loc 525 | $3,403 | 24% |
| Resorts World Las Vegas | $3,403 | 24% |
| Switch | $3,403 | 24% |
| Teamsters Local 14 | $3,403 | 24% |
| Teamsters Local 631 | $3,403 | 24% |
| Teamsters Local 986 | $3,403 | 24% |
| Ufcw Local 711 Retail Clerks | $3,403 | 24% |
| Wynn Resorts | $3,403 | 24% |
| Cigna | $4,380 | 31% |
| Cirque De Soleil | $4,380 | 31% |
| Great West Healthcare | $4,380 | 31% |
| Kaiser | $4,380 | 31% |
| National Security Technologies | $4,380 | 31% |
| Aig | $4,455 | 32% |
| Beech Street | $4,455 | 32% |
| Aetna | $4,574 - $36,520 | 33% |
| Coventry | $4,574 | 33% |
| Mail Handlers Benefit Plan | $4,574 | 33% |
| Nevada Energy | $4,574 | 33% |
| Hometown Health Plan Of Nevada | $4,856 | 35% |
| One Health Plan | $4,856 | 35% |
| First Health | $5,517 | 39% |
| Health Net | $5,517 | 39% |
| Three Rivers Provider Network | $5,517 | 39% |
| Advantra Freedom | $20,869 | 149% |
| Alignment Health | $20,869 | 149% |
| Allwell | $20,869 | 149% |
| Healthcare Partners Of Nevada | $20,869 | 149% |
| P3 Health Partners Nevada | $20,869 | 149% |
| Scan | $20,869 | 149% |
| Selecthealth | $20,869 - $30,886 | 149% |
| Va Pc3 (Va Choice) | $20,869 | 149% |
| Health Direct Partners | $33,598 | 239% |
| Jw Marriott | $41,737 | 297% |
| Nevada Preferred Professionals | $41,737 | 297% |
| Prominence Health Plan | $41,737 | 297% |
| Universal Health Network (Uhn) | $41,737 | 297% |