CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Park Place Surgical Hospital

Billing Code: 470 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 470
Insurance Median: $12,194
Cash Discount Price: $11,832
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Park Place Surgical Hospital is $12,194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,832. Compared to the federal Medicare reimbursement reference rate of $14,044.15, this hospital’s rate is 0.87x the Medicare baseline. Located in 4811 Ambassador Caffery Parkway, Lafayette, LA.

Cash / Self-Pay

$11,832

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,194

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,044.15

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,044.15 (100%)

Cash / Self-Pay: $11,832 (84%)

Insurance Median: $12,194 (87%)

Cash: $11,832 (84% of Medicare)

Ins. Median: $12,194 (87% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,044.15 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$9,616 - $12,249	68%
Medicare (plans)	$11,523 - $12,140	82%
Healthy Blue	$12,140	86%
Veterans Affairs	$12,140	86%
Humana	$12,140 - $13,660	86%
Triwest	$12,140	86%
UnitedHealthcare	$12,399 - $12,684	88%
Blue Cross Blue Shield	$13,216 - $13,219	94%
Cigna	$13,576 - $13,888	97%
Vantage Health Plans, Inc	$16,995	121%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $11,832.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Park Place Surgical Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.