CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Grand Strand Regional Medical Center

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $17,088
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Grand Strand Regional Medical Center is $17,088. 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 1.22x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,088

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: $17,088 (122%)

Ins. Median: $17,088 (122% 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
Sc State Employees	$6,417 - $33,488	46%
United	$7,087 - $62,259	50%
Molina	$16,563 - $16,920	118%
Occunet	$16,597	118%
Blue Cross Blue Shield	$16,753 - $84,595	119%
Humana	$16,753	119%
United Behavioral Health	$16,753	119%
Aetna	$16,920 - $122,935	120%
Absolute Total Care	$17,088 - $32,589	122%
Cigna	$17,088 - $59,855	122%
Devoted Health	$17,088	122%
Wellcare	$17,088	122%
Boldage Pace	$17,255	123%
Clover	$17,255	123%
Eon Health	$17,925	128%
Nhc Advantage	$17,925	128%
Pruitt Health	$17,925	128%
Universal Healthcare Group	$18,093	129%
Health Team Advantage	$20,103	143%
Corvel Corporation	$22,985	164%
Employer'S Health Network	$22,985	164%
Prime Health	$22,985	164%
Heritage Summit	$24,627	175%
Multiplan	$34,523	246%
Blue Choice Health Plan	$46,230	329%
Select Health	$61,972	441%

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 $X.
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 Grand Strand Regional Medical Center 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.