Hip or knee replacement (inpatient stay)
Facility: Baptist Memorial Hospital - Carroll County
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $24,272
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.73x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $8,022 - $47,583 | 57% |
| Triwest | $14,122 | 101% |
| Vaccn | $14,710 | 105% |
| Humana | $14,857 - $15,446 | 106% |
| Aetna | $15,446 | 110% |
| American Health Plan | $15,446 | 110% |
| Cigna | $15,446 - $27,284 | 110% |
| Shared Health | $15,446 | 110% |
| Wellpoint | $15,446 | 110% |
| First Choice Health Plan Of Ms | $16,592 - $31,213 | 118% |
| French Camp Academy | $20,740 | 148% |
| Hattiesburg Clinic | $20,740 | 148% |
| Heartland Catfish Company | $20,740 | 148% |
| W G Yates | $20,740 | 148% |
| Oscar | $21,117 | 150% |
| Bartlett City Schools | $22,801 | 162% |
| City Of Bartlett | $22,801 | 162% |
| City Of Lakeland | $22,801 | 162% |
| Collierville Schools | $22,801 | 162% |
| Eas Mssc Schools | $22,801 | 162% |
| Lakeland School System | $22,801 | 162% |
| Town Of Collierville | $22,801 | 162% |
| Armstrong Relocation | $24,272 | 173% |
| Ashley Furniture Stores | $24,272 | 173% |
| Brimhall Foods | $24,272 | 173% |
| Building Plastic | $24,272 | 173% |
| Cannon Motor Company | $24,272 | 173% |
| Carlisle | $24,272 | 173% |
| Crittenden County | $24,272 | 173% |
| Davidson Hospitality | $24,272 | 173% |
| Desoto Co Board Of Supervisors | $24,272 | 173% |
| Dunn Investment Company | $24,272 | 173% |
| First Community Bank | $24,272 | 173% |
| Gossett Motor Cars | $24,272 | 173% |
| Heavy Machines | $24,272 | 173% |
| Hollowell Industries | $24,272 | 173% |
| Hospitality Management Advisors | $24,272 | 173% |
| Jas D Collier | $24,272 | 173% |
| Malco Theaters | $24,272 | 173% |
| Mechanical Systems | $24,272 | 173% |
| Mid-South Transport | $24,272 | 173% |
| Patterson Warehouses | $24,272 | 173% |
| Radians | $24,272 | 173% |
| Rei Nation | $24,272 | 173% |
| Retzer Resources | $24,272 | 173% |
| Ritchey Automotive | $24,272 | 173% |
| Security One | $24,272 | 173% |
| Silver Tree | $24,272 | 173% |
| State Systems | $24,272 | 173% |
| United Tn Holdings | $24,272 | 173% |
| Vaughn Electric | $24,272 | 173% |
| W W Wood Products | $24,272 | 173% |
| Watkins Uiberall | $24,272 | 173% |
| Y K Auto Group | $24,272 | 173% |
| Magnolia Tn | $24,835 | 177% |
| Burch Food Services | $25,008 | 178% |
| First State Bank Trust | $25,008 | 178% |
| Harding Academy | $25,743 | 183% |
| Employers Health Network | $29,421 | 209% |