CMS Price Transparency Data
Total hip replacement
Facility: Arkansas Surgical Hospital
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $12,111
- Cash Discount Price: $18,349
- vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Arkansas Surgical Hospital is $12,111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,349. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.92x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$18,349
Average discount available for prompt cash payment at this facility.
Insurance Median
$12,111
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: $18,349 (140%)
Insurance Median: $12,111 (92%)
Cash: $18,349 (140% of Medicare)
Ins. Median: $12,111 (92% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicade Arkansas | $320 - $850 | 2% |
| Medicaid / KanCare | $320 - $850 | 2% |
| Municipal Health | $10,122 - $28,879 | 77% |
| Municipal Health Benefit Fund | $10,122 - $28,879 | 77% |
| Aarp | $11,801 - $12,111 | 90% |
| Aarp Supplemental | $11,801 - $12,111 | 90% |
| Aetna | $11,801 - $26,552 | 90% |
| Allianz Resolution Manage | $11,801 - $12,111 | 90% |
| Allwell | $11,801 - $12,111 | 90% |
| Americo | $11,801 - $12,111 | 90% |
| Bankers Fidelity | $11,801 - $12,111 | 90% |
| Bankers Life And Casualty | $11,801 - $12,111 | 90% |
| Blue Cross Blue Shield | $11,801 - $17,312 | 90% |
| Cigna | $11,801 - $17,500 | 90% |
| Healthspring | $11,801 - $12,111 | 90% |
| Hmo Medipak Adv | $11,801 - $12,111 | 90% |
| Hmo Medipak Adv Plan | $11,801 - $12,111 | 90% |
| Humana | $11,801 - $12,111 | 90% |
| Medadvantage | $11,801 - $12,111 | 90% |
| Medicare (plans) | $11,801 - $12,111 | 90% |
| Medipak | $11,801 - $12,111 | 90% |
| Medipak Advantage | $11,801 - $12,111 | 90% |
| Railroad Retirement | $11,801 - $12,111 | 90% |
| Sterling Option 1 | $11,801 - $12,111 | 90% |
| Tricare | $11,801 - $12,111 | 90% |
| UnitedHealthcare | $11,801 - $17,312 | 90% |
| Vantage Health | $11,801 - $12,111 | 90% |
| Vantage Health Plan Inc | $11,801 - $12,111 | 90% |
| Vetern Choice Program | $11,801 - $12,111 | 90% |
| Wellcare | $11,801 - $12,111 | 90% |
| Wps Vapc3 | $11,801 - $12,111 | 90% |
| All Savers | $12,000 - $17,312 | 91% |
| All Savers Insurance | $12,000 - $17,312 | 91% |
| Bind | $12,000 - $17,312 | 91% |
| Freedom Life Ushealth | $12,000 - $17,312 | 91% |
| Geha | $12,000 - $17,312 | 91% |
| Golden Rule | $12,000 - $17,312 | 91% |
| Golden Rule Ins | $12,000 - $17,312 | 91% |
| Golden Rule Insurance | $12,000 - $17,312 | 91% |
| Healthscope Benefits | $12,000 - $17,312 | 91% |
| Medica | $12,000 - $17,312 | 91% |
| Oxford | $12,000 - $17,312 | 91% |
| Oxford Life | $12,000 - $17,312 | 91% |
| Oxford Life Ins Company | $12,000 - $17,312 | 91% |
| Oxford Life Insurance | $12,000 - $17,312 | 91% |
| Oxford Life Insurance Co | $12,000 - $17,312 | 91% |
| Surest | $12,000 - $17,312 | 91% |
| United Healtcare Global | $12,000 - $17,312 | 91% |
| United Hlth Shared Servic | $12,000 - $17,312 | 91% |
| Ushealthgroup | $12,000 - $17,312 | 91% |
| Allegiance | $12,382 - $17,500 | 94% |
| Allied Benefit System | $12,382 - $17,500 | 94% |
| Apwu | $12,382 - $17,500 | 94% |
| Apwu Health Plan | $12,382 - $17,500 | 94% |
| Nalc | $12,382 - $17,500 | 94% |
| Nalc Health Benefit Plan | $12,382 - $17,500 | 94% |
| Nalc Medical Claims | $12,382 - $17,500 | 94% |
| Priority Health | $12,382 - $17,500 | 94% |
| Providence Health Plan | $12,382 - $17,500 | 94% |
| S&S Healthcare Strategies | $12,382 - $17,500 | 94% |
| Tufts Health Plan | $12,382 - $17,500 | 94% |
| Blue Advantage | $13,270 - $17,312 | 101% |
| Care First | $13,270 - $17,312 | 101% |
| Health Advantage | $13,270 - $17,312 | 101% |
| Premera | $13,270 - $17,312 | 101% |
| True Blue | $13,270 - $14,113 | 101% |
| True Blue Metallic | $13,270 - $14,113 | 101% |
| Ambetter / Centene | $14,525 - $16,521 | 111% |
| Qualchoice | $17,701 - $18,166 | 135% |
| Qualchoice Adv Hmo | $17,701 - $18,166 | 135% |
| Qualchoice Exchange | $17,701 - $18,166 | 135% |
| Qualchoice Health Ins | $17,701 - $18,166 | 135% |
| American Continental Life | $19,758 - $26,552 | 151% |