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
Toms River, NJ
See all hospitals reporting MS-DRG 470 →Price type
Community Medical Center’s median price of $23.4k is 27% above the median hospital's median price ($18.5k), higher than 74% 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: 7 payers, 22 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 | Bcbs Nj worker's comp per diem · inpatient | $6,471 | $6,471 | $6,471 – $6,471 |
| 2 | Bcbs Nj pip per diem · inpatient | $14,912 | $14,912 | $14,912 – $14,912 |
| 3 | Aetna medicare fee schedule · inpatient | $16,472 | $16,472 | $16,472 – $16,472 |
| 4 | Bcbs Nj medicare advantage fee schedule · inpatient | $16,472 | $16,472 | $16,472 – $16,472 |
| 5 | Clover medicare advantage fee schedule · inpatient | $16,472 | $16,472 | $16,472 – $16,472 |
| 6 | Humana medicare fee schedule · inpatient | $16,472 | $16,472 | $16,472 – $16,472 |
| 7 | UnitedHealthcare medicare fee schedule · inpatient | $16,801 | $16,801 | $16,801 – $16,801 |
| 8 | Bcbs Nj nj health case rate · inpatient | $18,949 | $18,949 | $18,949 – $18,949 |
| 9 | Cigna local plus case rate · inpatient | $20,787 | $20,787 | $20,787 – $20,787 |
| 10 | Cigna hmo case rate · inpatient | $26,413 | $26,413 | $26,413 – $26,413 |
| 11 | Cigna ppo case rate · inpatient | $27,819 | $27,819 | $27,819 – $27,819 |
| 12 | UnitedHealthcare nexus case rate · inpatient | $32,300 | $32,300 | $32,300 – $32,300 |
| 13 | UnitedHealthcare oxford metro case rate · inpatient | $32,300 | $32,300 | $32,300 – $32,300 |
| 14 | WellCare ambetter health commercial fee schedule · inpatient | $32,778 | $32,778 | $32,778 – $32,778 |
| 15 | Bcbs Nj omnia case rate · inpatient | $36,512 | $36,512 | $36,512 – $36,512 |
| 16 | Bcbs Nj state benefit plan case rate · inpatient | $37,274 | $37,274 | $37,274 – $37,274 |
| 17 | UnitedHealthcare commercial case rate · inpatient | $38,000 | $38,000 | $38,000 – $38,000 |
| 18 | UnitedHealthcare oxford commercial case rate · inpatient | $38,000 | $38,000 | $38,000 – $38,000 |
| 19 | Aetna hmo case rate · inpatient | $38,166 | $38,166 | $38,166 – $38,166 |
| 20 | Aetna ppo case rate · inpatient | $38,166 | $38,166 | $38,166 – $38,166 |
| 21 | Bcbs Nj managed case rate · inpatient | $39,935 | $39,935 | $39,935 – $39,935 |
| 22 | Bcbs Nj non-managed case rate · inpatient | $40,593 | $40,593 | $40,593 – $40,593 |
Last updated: Mar 4, 2026
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