CMS Price Transparency Data

Total hip replacement

Facility: Oroville Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $3,635
  • Cash Discount Price: $1,420
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Oroville Hospital is $3,635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,420. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.28x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.
Cash / Self-Pay
$1,420

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,635

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: $1,420 (11%)
Insurance Median: $3,635 (28%)
Cash: $1,420 (11% of Medicare)
Ins. Median: $3,635 (28% 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.

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 $307 - $4,998 2%
Butte County $396 - $1,582 3%
Cigna $909 - $3,635 7%
Coventry Health Care $909 - $3,635 7%
Health Net $909 - $3,635 7%
Multiplan $909 - $3,635 7%
Interplan $966 - $3,862 7%
Three Rivers Provider Network $966 - $3,862 7%
UnitedHealthcare $966 - $12,540 7%
Beech Street $1,022 - $4,090 8%
Healthstar $1,022 - $4,090 8%
Health Payors Organization $1,079 - $4,317 8%
Blue Shield Of California $1,102 - $4,408 8%
Blue Shield Value Network $1,222 9%
Aetna $12,540 96%
Community Care $12,540 96%
Nivano Physicians Inc $12,540 96%
River City Medical Group $13,794 105%
Partnership Healthplan Of California $20,691 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2767 Olive Highway, Oroville, CA 95966
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals