CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Corpus Christi Medical Center,The

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $17,630
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Corpus Christi Medical Center,The is $17,630. 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 1.26x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,630

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: $17,630 (126%)

Ins. Median: $17,630 (126% 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
Texas True Choice	$1,498	11%
Newton Ppo	$1,500	11%
First Health	$1,840	13%
Usc Health Services	$2,000	14%
Aetna	$2,196 - $17,401	16%
Multiplan Phcs	$2,250 - $3,400	16%
United	$2,751 - $33,694	20%
Cigna	$4,248 - $32,537	30%
Humana	$17,048 - $20,174	121%
Wellmed	$17,154	122%
Blue Cross Blue Shield	$17,630 - $51,618	126%
Texas Healthcare Foundation	$17,630	126%
Triwest Healthcare Alliance	$17,630	126%
Physicians Health Choice	$17,983 - $18,512	128%
Provider Partners Health Plan Of Texas	$17,983	128%
American Health Plan	$18,512	132%
Superior Health Plan	$18,512	132%
Molina	$19,217	137%
Pyramid Life	$19,393	138%
Texas Independent Health Plan	$19,393	138%
Fidelis Securecare Of Tx	$19,922	142%
Shared Health	$21,156	151%
Corvel Corporation	$24,959	178%
Curative Administrators	$26,326	187%
Omni Healthcare	$26,472	188%
Independent Medical System	$26,879	191%
Superior	$28,420	202%

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 Corpus Christi Medical Center,The 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.