CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ascension St John Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$14,244

about 1.0× the $14,044 Medicare rate · typically $11,691–$19,989

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,322

Below the fair price — a good deal

about $1,922 under the fair price · 0.9× Medicare

Medicare pays $14,044 Fair price $14,244 This hospital $12,322

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OK hospitals compared.

Cheapest $9,928 Priciest $14,186

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 $14,244 (about 1.0× the $14,044 Medicare rate). Ascension St John Medical Center charges insurers about $12,322 — below the fair price — a good deal. Located in Tulsa, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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
UnitedHealthcaremajor	$11,963 - $16,493	85%
Blue Cross Blue Shieldmajor	$12,561	89%
Aetnamajor	$6,781 - $11,033	48%
Cignamajor	$8,761	62%
Humanamajor	$12,082	86%
Medica	$8,300	59%
+ 11 smaller / regional plans	$2,735 - $26,916

Government programs also on file: Medicare, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Ascension St John Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ascension St John Medical Center

Compare: Hip or knee replacement (inpatient stay) at other OK hospitals

Alliancehealth Madill · Madill $9,928
Ascension St John Broken Arrow · Broken Arrow $11,017
Ascension St John Sapulpa · Sapulpa $11,017
St John Owasso · Owasso $11,813
Ascension St John Jane Phillips · Bartlesville $11,916
Oklahoma Surgical Hospital, LLC · Tulsa $12,956
McCurtain Memorial Hospital · Idabel $13,455
Mercy Hospital Oklahoma City, Inc · Oklahoma City $14,186

Insurance negotiated median for the same procedure, sorted lowest first.