CMS Price Transparency Data

Total hip replacement

Facility: University of California Davis Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $19,802
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at University of California Davis Medical Center is $19,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.51x the Medicare baseline. Located in 2315 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$19,802

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%)

Insurance Median: $19,802 (151%)

Ins. Median: $19,802 (151% 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
Blue Shield	$553	4%
Pipe Trades	$553	4%
Sheet Metal Workers Union(Smw)	$553	4%
Ufcw	$553	4%
Dignity/Chw	$1,191	9%
Adventist	$1,301	10%
Generic	$1,301	10%
Healthnet	$1,301 - $50,986	10%
Blue Cross Blue Shield	$16,662 - $31,930	127%
UnitedHealthcare	$17,295 - $89,143	132%
Blue Shield Senior	$17,495	133%
Healthnet Senior	$17,662	135%
San Joaquin Health Plan Gmc	$18,328	140%
Carpenters H&W	$31,930	243%
Cement Masons Trust Fund	$31,930	243%
Delta	$31,930	243%
Healthcomp	$31,930	243%
Ironworkers	$31,930	243%
Joint Benefit Trust	$31,930	243%
Laborers Health And Welfare	$31,930	243%
Operating Engrs Health Welfare	$31,930	243%
Sierra Pacific Industries	$31,930	243%
Western Growers	$31,930	243%

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 $X.
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 University of California Davis Medical Center 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.