Total hip replacement
Facility: Menifee Global Medical Center
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $16,432
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $1,012 - $50,000 | 8% |
| Health Net Enhanced Ppo | $1,667 - $23,004 | 13% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $1,757 | 13% |
| Health Net Medi-Cal | $2,136 | 16% |
| Ic | $2,136 - $16,432 | 16% |
| Kaiser Medi-Cal | $2,136 | 16% |
| Prospect Health Plan Mcal Hmo | $2,200 | 17% |
| Blue Cross Blue Shield | $2,243 | 17% |
| Molina Medi-Cal | $2,521 | 19% |
| Altamed Mcal Hmo | $2,991 | 23% |
| Altamed Mcal/Pace | $2,991 | 23% |
| Iehp Medi-Cal | $3,204 | 24% |
| Choice Physicians Network | $5,200 | 40% |
| UnitedHealthcare | $8,444 - $16,432 | 64% |
| Cigna | $8,806 | 67% |
| Aetna | $16,432 | 125% |
| Altamed Comm Hmo (Ancillary) | $16,432 | 125% |
| Altamed Health Services Senior | $16,432 | 125% |
| Altamed Sr/Pace | $16,432 | 125% |
| Blue Shield Senior | $16,432 | 125% |
| Central Health Plan Senior | $16,432 | 125% |
| Clever Care Health Plan Sr | $16,432 | 125% |
| For Your Benefit Senior | $16,432 | 125% |
| Guidant Health Plan Senior | $16,432 | 125% |
| Health Net Senior | $16,432 | 125% |
| Hpn Senior | $16,432 | 125% |
| Humana | $16,432 | 125% |
| Kaiser Senior | $16,432 | 125% |
| Lasalle Medical Assoc (Ancillary) Senior | $16,432 | 125% |
| Managed Health Network Sr | $16,432 | 125% |
| Medicare (plans) | $16,432 | 125% |
| Neighborhood Healthcare Pace | $16,432 | 125% |
| Primecare Senior | $16,432 | 125% |
| Prospect Health Plan Sr Hmo | $16,432 | 125% |
| Scan Senior | $16,432 | 125% |
| Sr Capitation | $16,432 | 125% |
| Veterans Administration | $16,432 | 125% |
| Imperial Health Plan Of Ca | $16,513 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $16,513 | 126% |
| Point Comfort Underwriters | $16,513 | 126% |
| Self Pay/Ab774/Charity Discount | $16,513 | 126% |
| Molina Covered Ca | $17,936 | 137% |
| Align Senior Care | $18,404 | 140% |
| Welbehealth Sr/Pace | $18,404 | 140% |
| Prime Health Services Senior | $18,897 | 144% |
| Coventry | $19,765 - $20,534 | 151% |
| Prime Health Services Wcomp | $19,765 | 151% |
| Iehp Covered Ca | $20,540 | 157% |
| Three Rivers Wcomp | $21,522 | 164% |
| Workers Comp Non-Contracted | $21,962 | 167% |
| Prospect Health Plan Comm Hmo | $22,183 | 169% |
| Hpn Commercial/Covered Ca | $23,004 | 175% |
| Health Net Comm | $24,648 | 188% |
| Three Rivers Network | $28,897 | 220% |
| Velocity | $28,897 | 220% |
| Blue Shield Epn | $46,173 | 352% |
| Blue Shield Commercial | $54,389 | 415% |