Hip or knee replacement (inpatient stay)
Facility: Mercy Hospital Oklahoma City, Inc
Billing Code: 470 (MS-DRG)
This hospital's typical commercial price is $13,097 compared to the $20,499 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.64× fair market pricing.
On the higher side — 6 of 8 other OK hospitals charge less.
Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $20,499 (about 1.5× the $14,044 Medicare rate). Mercy Hospital Oklahoma City, Inc charges insurers about $13,097, or about $25,737 in cash — below the fair price — a good deal. Located in Oklahoma City, OK.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Aetnamajor | $3,365 | 24% |
| Cignamajor | $19,485 - $21,911 | 139% |
| + 2 smaller / regional plans | $13,097 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Hospital Oklahoma City, Inc
Compare: Hip or knee replacement (inpatient stay) at other OK hospitals
- Alliancehealth Madill · Madill $9,928
- Ascension St John Sapulpa · Sapulpa $11,017
- St John Owasso · Owasso $11,813
- Ascension St John Jane Phillips · Bartlesville $11,916
- Ascension St John Medical Center · Tulsa $12,322
- Oklahoma Surgical Hospital, LLC · Tulsa $12,956
- McCurtain Memorial Hospital · Idabel $13,455
- Memorial Health · Lawton $15,037
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Hospital Oklahoma City, Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $14,373
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $14,373).
Self-Pay Cash Rate ($25,737) Beats Your Bill
Mercy Hospital Oklahoma City, Inc's published 45 CFR § 180 self-pay cash rate is $25,737 (vs. $13,097 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $20,499 Fair BaseRate ($14,044 Medicare)
Your bill ($39,596) is $19,097 above the denoised Fair BaseRate ($20,499) and 2.8× the $14,044 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.