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
SENECA, SC
See all hospitals reporting MS-DRG 470 →Price type
Prisma Health Oconee Memorial Hospital’s median price of $15.4k is 17% below the median hospital's median price ($18.5k), higher than 25% of the 2,213 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, 24 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 | UnitedHealthcare ph north carolina medicaid case rate · inpatient | $5,652 | $5,652 | $5,652 – $5,652 |
| 2 | WellCare ph north carolina medicaid case rate · inpatient | $5,652 | $5,652 | $5,652 – $5,652 |
| 3 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - omh other · inpatient | $12,516 | $12,516 | $12,516 – $12,516 |
| 4 | Humana phu hb humana medicare pffs - oconee other · inpatient | $13,221 | $13,221 | $13,221 – $13,221 |
| 5 | Humana phu hb 104% humana medicare - oconee other · inpatient | $13,480 | $13,480 | $13,480 – $13,480 |
| 6 | Blue Cross Blue Shield phu hb 100% of medicare - omh other · inpatient | $14,750 | $14,750 | $14,750 – $14,750 |
| 7 | Cigna phu hb 100% of medicare - omh other · inpatient | $14,750 | $14,750 | $14,750 – $14,750 |
| 8 | Devoted phu hb 100% of medicare - omh other · inpatient | $14,750 | $14,750 | $14,750 – $14,750 |
| 9 | Blue Cross Blue Shield phu hb blues exchange oconee other · inpatient | $14,927 | $14,927 | $14,927 – $14,927 |
| 10 | Blue Cross Blue Shield phu hb 102% of medicare - omh other · inpatient | $15,045 | $15,045 | $15,045 – $15,045 |
| 11 | UnitedHealthcare phu hb uhc medicare - omh other · inpatient | $15,267 | $15,267 | $15,267 – $15,267 |
| 12 | Aetna phu hb aetna ppo/hmo medicare - omh other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 13 | Aetna phu hb aetna prime hmo medicare - omh other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 14 | Cigna phu hb 105% of medicare - omh other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 15 | Molina phu hb 105% of medicare - omh other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 16 | WellCare phu hb 105% of medicare - omh other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 17 | WellCare phu hb absolute total care medicare oconee other · inpatient | $15,488 | $15,488 | $15,488 – $15,488 |
| 18 | Medicare phu hb medicare - oconee other · inpatient | $15,594 | $15,594 | $15,594 – $15,594 |
| 19 | Molina phu hb molina dual eligible omh other · inpatient | $16,226 | $16,226 | $16,226 – $16,226 |
| 20 | UnitedHealthcare phu hb united healthcare per diem · inpatient | $25,847 | $25,847 | $25,847 – $25,847 |
| 21 | Blue Cross Blue Shield phu hb bcbs ppc oconee other · inpatient | $28,145 | $28,145 | $28,145 – $28,145 |
| 22 | Blue Cross Blue Shield phu hb bcbs state oconee other · inpatient | $28,372 | $28,372 | $28,372 – $28,372 |
| 23 | Cigna phu hb cigna case rate · inpatient | $39,398 | $39,398 | $39,398 – $39,398 |
| 24 | Ambetter phu hb ambetter hix atc medicare - omh other · inpatient | $41,012 | $41,012 | $41,012 – $41,012 |
Last updated: Mar 1, 2026
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