CMS Price Transparency Data

Total hip replacement

Facility: Clovis Community Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,735

about 0.2× the $13,117 Medicare rate · typically $1,159–$4,795

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,295

Below the fair price — a good deal

about $440 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $2,735 This hospital $2,295

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $2,295 Priciest $7,065

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

A fair price for a Total hip replacement is about $2,735 (about 0.2× the $13,117 Medicare rate). Clovis Community Medical Center charges insurers about $2,295 — below the fair price — a good deal. Located in Clovis, CA.

What each insurance company pays

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

6 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	$1,147 - $16,760	9%
Blue Cross Blue Shieldmajor	$130 - $16,513	1%
Aetnamajor	$1,147 - $16,513	9%
Cignamajor	$1,147 - $16,513	9%
Humanamajor	$1,147 - $16,513	9%
Kaiser Permanentemajor	$13,117	100%
Health Net	$1,147 - $16,513	9%
Sentara	$1,489	11%
WellCare	$1,147 - $16,513	9%
+ 46 smaller / regional plans	$1,147 - $33,025

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (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, 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 Clovis Community 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 Clovis Community Medical Center

Compare: Total hip replacement at other CA hospitals

Southwest Healthcare Rancho Springs Hospital · Murrieta $2,694
Valley Children's Hospital · Madera $2,991
Palmdale Regional Medical Center · Palmdale $3,833
Corona Regional Medical Center · Corona $3,851
Mercy Medical Center · Merced $5,819
Riverside Community Hospital · Riverside $5,892
Pomona Valley Hospital Medical Center · Pomona $6,405
Mercy Hospital · Bakersfield $7,065

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