CMS Price Transparency Data

Total hip replacement

Facility: Yavapai Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,552

about 0.3× the $13,117 Medicare rate · typically $2,448–$12,364

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,669

Below the fair price — a good deal

about $1,883 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $4,552 This hospital $2,669 Cash price $2,011 Hospital's list price $2,710

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $2,669 Priciest $10,426

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $4,552 (about 0.3× the $13,117 Medicare rate). Yavapai Regional Medical Center charges insurers about $2,669, or about $2,011 in cash — below the fair price — a good deal. Located in Prescott, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,347 - $2,778	10%
Blue Cross Blue Shieldmajor	$2,306 - $2,791	18%
Aetnamajor	$2,439 - $2,710	19%
Cignamajor	$2,304 - $2,710	18%
Humanamajor	$1,347 - $2,710	10%
Banner Health	$1,347 - $2,710	10%
Devoted Health	$2,873	22%
Health Net	$1,347 - $2,710	10%
WellCare	$2,710 - $2,846	21%
+ 11 smaller / regional plans	$1,347 - $2,846

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,011), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm Yavapai Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Yavapai Regional Medical Center

Compare: Total hip replacement at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.