CMS Price Transparency Data

Total hip replacement

Facility: Central Peninsula General Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $21,958
Cash Discount Price: $23,998
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Central Peninsula General Hospital is $21,958. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,998. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.67x the Medicare baseline. Located in 250 Hospital Place, Soldotna, AK.

Cash / Self-Pay

$23,998

Average discount available for prompt cash payment at this facility.

Insurance Median

$21,958

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $23,998 (183%)

Insurance Median: $21,958 (167%)

Cash: $23,998 (183% of Medicare)

Ins. Median: $21,958 (167% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 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
Blue Cross Blue Shield	$5,215	40%
Kenai Peninsula Premera - All Other Plans	$5,215	40%
Kenai Peninsula School	$14,399	110%
Moda Cph - All Other Plans	$14,399	110%
Moda Non-Cph	$21,118	161%
Cigna	$21,574	164%
UnitedHealthcare	$21,598	165%
Rehn - All Plans	$22,318	170%
Aetna	$22,558	172%
Geha - All Plans	$23,278	177%
Multiplan Primary - All Other Plans	$23,278	177%
Vnpn - All Plans	$23,278	177%
First Choice Ppo - All Plans	$23,518	179%
Multiplan Comp	$23,518	179%

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 $23,998.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Central Peninsula General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
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.