▸ California · MS-DRG 470
Major joint replacement w/o MCC in California
What California hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
63
Rate rows
1,291
Neg. median
$22,671
Min
$39.1
Max
$215,960
Cash median
$20,085
Across 63 California hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $39.1 to $215,960, with a median of $22,671. The interquartile range is $19,231 to $32,256. Cash-pay patients typically pay $20,085; gross charges median $144,446.
By payer in California
Top 30 payers for Major joint replacement w/o MCC in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 55 | 165 | $25,733 |
| Aetna | 46 | 71 | $23,765 |
| Humana | 36 | 36 | $19,301 |
| Kaiser Permanente | 36 | 44 | $19,565 |
| Health Net | 34 | 109 | $30,643 |
| Medicare | 30 | 39 | $19,092 |
| UnitedHealthcare | 27 | 77 | $35,904 |
| Cigna | 22 | 42 | $33,093 |
| Anthem BCBS | 21 | 27 | $18,444 |
| Molina | 21 | 31 | $19,615 |
| brand new day | 18 | 19 | $19,283 |
| Multiplan | 15 | 15 | $21,572 |
| central health plan | 14 | 14 | $20,910 |
| scan health plan | 13 | 16 | $20,804 |
| Empire BCBS | 10 | 14 | $20,091 |
| WellCare | 10 | 10 | $19,245 |
| First Health | 10 | 10 | $78,957 |
| caremore | 9 | 9 | $20,422 |
| healthcare partners | 8 | 11 | $21,592 |
| heritage provider network | 8 | 12 | $25,081 |
| monarch health plan | 7 | 17 | $20,422 |
| TRICARE | 7 | 12 | $25,617 |
| la care health plan | 7 | 14 | $20,038 |
| providence health plan | 7 | 7 | $19,231 |
| employer direct healthcare | 6 | 6 | $24,095 |
| renal payer solutions | 6 | 6 | $18,535 |
| national healthcare solutions, inc (nhsi) | 6 | 6 | $29,655 |
| commercial | western health advantage | all plans | 5 | 5 | $12,480 |
| commercial | hill physicians | all plans | 5 | 5 | $19,311 |
| Bright Health | 5 | 8 | $28,296 |
Hospital comparison — Major joint replacement w/o MCC in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.