Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
Austin, TX
See all hospitals reporting MS-DRG 470 →Price type
Ascension Seton’s median price of $12.2k is 34% below the median hospital's median price ($18.5k), higher than 8% of the 2,206 hospitals reporting MS-DRG 470. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana 415_humana exchange (chi,dcn) 20160101 per diem · both | $4,701 | $4,701 | $4,701 – $4,701 |
| 2 | Humana 206_humana hmo custom 20140201 per diem · inpatient | $4,936 | $4,936 | $4,936 – $4,936 |
| 3 | Humana 387_humana exchange 20160101 per diem · inpatient | $5,030 | $5,030 | $5,030 – $5,030 |
| 4 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 per diem · inpatient | $6,318 | $6,318 | $6,318 – $6,318 |
| 5 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 per diem · inpatient | $6,862 | $6,862 | $6,862 – $6,862 |
| 6 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 per diem · inpatient | $6,862 | $6,862 | $6,862 – $6,862 |
| 7 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 per diem · inpatient | $6,863 | $6,863 | $6,863 – $6,863 |
| 8 | Cigna 4476_cigna hmo (wil,del) 20250701 per diem · inpatient | $6,863 | $6,863 | $6,863 – $6,863 |
| 9 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 per diem · inpatient | $7,532 | $7,532 | $7,532 – $7,532 |
| 10 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 per diem · inpatient | $8,368 | $8,368 | $8,368 – $8,368 |
| 11 | Humana 2668_humana hmo 20230701 per diem · inpatient | $9,036 | $9,036 | $9,036 – $9,036 |
| 12 | Oscar 4511_oscar health plan 20251001 other · inpatient | $9,379 | $9,379 | $9,379 – $9,379 |
| 13 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 14 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 15 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 16 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 17 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 18 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 case rate · inpatient | $11,474 | $11,474 | $11,474 – $11,474 |
| 19 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · both | $12,181 | $12,181 | $12,181 – $12,181 |
| 20 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 21 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 22 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 23 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 24 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $12,237 | $12,237 | $12,237 – $12,237 |
| 25 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $12,482 | $12,482 | $12,482 – $12,482 |
Last updated: Jan 1, 2026
See Hip or knee joint replacement surgery without major complications pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.