CMS Price Transparency Data

Total hip replacement

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,976
Cash Discount Price: $1,727
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Medical West, An Affiliate of UAB Health System is $1,976. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,727. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.15x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$1,727

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,976

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: $1,727 (13%)

Insurance Median: $1,976 (15%)

Cash: $1,727 (13% of Medicare)

Ins. Median: $1,976 (15% 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
Cigna	$564 - $12,213	4%
Viva	$1,151 - $13,505	9%
Phcs	$1,381 - $1,611	11%
Beech Street	$1,427 - $1,611	11%
One Health Plan	$1,496	11%
Aetna	$1,611 - $11,743	12%
Geha	$1,611	12%
Healthchoice	$1,611	12%
Alamed	$1,802	14%
Construction Claims Management	$1,863	14%
Multiplan	$1,888	14%
Corvel	$1,903 - $2,072	15%
Novanet	$1,922	15%
Humana	$1,957 - $12,448	15%
UnitedHealthcare	$1,976 - $12,918	15%
Department Of Labor	$2,003	15%
Heritage Summit Health	$2,003	15%
Pnoa	$2,072	16%
Three Rivers	$2,072	16%
Blue Cross Blue Shield	$11,626	89%
Cooper Green	$11,743	90%
Jefferson County Sheriff	$11,743	90%
Triwest	$11,743	90%
United Mine Workers	$11,743	90%
Ambetter / Centene	$16,147	123%

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 $1,727.
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 Medical West, An Affiliate of UAB Health System 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.