Hip or knee replacement (inpatient stay)
Facility: Las Palmas Medical Center A Campus of Lpds Healthc
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $19,335
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.38x 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 |
|---|---|---|
| Healthsmart Preferred Care | $1,433 | 10% |
| Integrated Medical Systems | $1,477 | 11% |
| El Paso First Health Plan | $1,487 | 11% |
| Multiplan | $1,500 | 11% |
| Phcs | $1,500 | 11% |
| Advantage Care Network | $2,512 | 18% |
| First Health | $2,806 | 20% |
| Aetna | $2,845 - $18,709 | 20% |
| United | $6,000 - $40,000 | 43% |
| St David’S Hospice | $17,060 | 121% |
| Blue Cross Blue Shield | $18,577 - $53,203 | 132% |
| Bienvivir Senior Health | $18,766 | 134% |
| Wellmed | $18,861 | 134% |
| Alignment Health Plan | $18,956 | 135% |
| Amerigroup | $18,956 | 135% |
| Arcadian Health Plan | $18,956 | 135% |
| Cigna | $18,956 - $66,669 | 135% |
| Clover Insurance Company | $18,956 | 135% |
| Triwest Healthcare Alliance | $18,956 | 135% |
| UnitedHealthcare | $18,956 | 135% |
| Devoted Health | $19,335 | 138% |
| Provider Partners Health Plan | $19,335 | 138% |
| American Health Plan Of Texas | $19,903 - $20,851 | 142% |
| Superior Health Plan | $19,903 - $29,381 | 142% |
| Wellcare Of Tx | $19,903 | 142% |
| Western Sky Community Care | $19,903 | 142% |
| Bravo Health | $20,093 | 143% |
| Imperial Insurance | $20,093 | 143% |
| Universal Health Pffs Nc | $20,472 | 146% |
| Molina Healthcare Mcr | $20,662 | 147% |
| Pyramid Life | $20,851 | 148% |
| Shared Health | $22,747 | 162% |
| Curative Administrators | $26,326 | 187% |
| Corvel Corporation | $26,917 | 192% |
| Oscar | $28,791 | 205% |
| Molina Healthcare | $30,062 | 214% |