CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Baptist Memorial Hospital
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $21,984
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Baptist Memorial Hospital is $21,984. 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 1.57x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$21,984
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: $21,984 (157%)
Ins. Median: $21,984 (157% 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.
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 |
|---|---|---|
| Wellpoint | $8,731 - $13,990 | 62% |
| Blue Cross Blue Shield | $9,710 - $47,583 | 69% |
| Triwest | $12,791 | 91% |
| Vaccn | $13,324 | 95% |
| Devoted Health | $13,590 | 97% |
| Aetna | $13,990 | 100% |
| American Health Plan | $13,990 | 100% |
| Humana | $13,990 - $14,811 | 100% |
| Shared Health | $13,990 | 100% |
| Tribute Health Plan | $13,990 | 100% |
| Novasys | $14,256 | 102% |
| Mpcn | $15,650 | 111% |
| Arlington Community Schools | $20,652 | 147% |
| Bartlett City Schools | $20,652 | 147% |
| City Of Bartlett | $20,652 | 147% |
| City Of Lakeland | $20,652 | 147% |
| Collierville Schools | $20,652 | 147% |
| Eas Mssc Schools | $20,652 | 147% |
| Lakeland School System | $20,652 | 147% |
| Town Of Collierville | $20,652 | 147% |
| First Choice Health Plan Of Ms | $20,740 - $31,213 | 148% |
| French Camp Academy | $20,740 | 148% |
| Hattiesburg Clinic | $20,740 | 148% |
| Heartland Catfish Company | $20,740 | 148% |
| W G Yates | $20,740 | 148% |
| Rhodes College | $21,318 | 152% |
| Armstrong Relocation | $21,984 | 157% |
| Ashley Furniture Stores | $21,984 | 157% |
| Brimhall Foods | $21,984 | 157% |
| Building Plastic | $21,984 | 157% |
| Cannon Motor Company | $21,984 | 157% |
| Carlisle | $21,984 | 157% |
| Crittenden County | $21,984 | 157% |
| Davidson Hospitality | $21,984 | 157% |
| Desoto Co Board Of Supervisors | $21,984 | 157% |
| Dunn Investment Company | $21,984 | 157% |
| First Community Bank | $21,984 | 157% |
| Gossett Motor Cars | $21,984 | 157% |
| Heavy Machines | $21,984 | 157% |
| Hollowell Industries | $21,984 | 157% |
| Hospitality Management Advisors | $21,984 | 157% |
| Jas D Collier | $21,984 | 157% |
| Malco Theaters | $21,984 | 157% |
| Mechanical Systems | $21,984 | 157% |
| Mid-South Transport | $21,984 | 157% |
| Patterson Warehouses | $21,984 | 157% |
| Radians | $21,984 | 157% |
| Rei Nation | $21,984 | 157% |
| Retzer Resources | $21,984 | 157% |
| Ritchey Automotive | $21,984 | 157% |
| Security One | $21,984 | 157% |
| Silver Tree | $21,984 | 157% |
| State Systems | $21,984 | 157% |
| United Tn Holdings | $21,984 | 157% |
| Vaughn Electric | $21,984 | 157% |
| W W Wood Products | $21,984 | 157% |
| Watkins Uiberall | $21,984 | 157% |
| Y K Auto Group | $21,984 | 157% |
| Magnolia Tn | $22,494 | 160% |
| Burch Food Services | $22,650 | 161% |
| First State Bank Trust | $22,650 | 161% |
| Oscar | $23,254 | 166% |
| Harding Academy | $23,317 | 166% |
| Molina | $24,649 | 176% |
| Multiplan | $25,164 | 179% |
| Access Health Services | $26,647 | 190% |
| Employers Health Network | $26,647 | 190% |