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
Worcester, MA
See all hospitals reporting MS-DRG 470 →Price type
UMass Memorial Medical Center’s median price of $19.5k is 5% above the median hospital's median price ($18.5k), higher than 57% 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: 5 payers, 7 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 | Medicaid all medicaid of new hampshire um [163] plans case rate · inpatient | $5,924 | $5,924 | $5,924 – $5,924 |
| 2 | UnitedHealthcare all medicare advantage (minus ime) um [133] plans other · inpatient | $18,393 | $18,393 | $18,393 – $18,393 |
| 3 | Blue Cross Blue Shield all bc mcr um [63] plans other · inpatient | $19,034 | $19,034 | $19,034 – $19,034 |
| 4 | UnitedHealthcare all uhc mcr um [317] plans other · inpatient | $19,680 | $19,680 | $19,680 – $19,680 |
| 5 | UnitedHealthcare all uhc community care sco (evercare) um [228] plans other · inpatient | $20,232 | $20,232 | $20,232 – $20,232 |
| 6 | Medicare all medicare/ medicare adv plans/ inst um [67] plans other · inpatient | $23,883 | $23,883 | $23,883 – $23,883 |
| 7 | Cigna all cigna um [78] plans other · inpatient | $44,691 | $44,691 | $44,691 – $44,691 |
Last updated: Mar 26, 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.