CMS Price Transparency Data

Total hip replacement

Facility: Winter Haven Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$14,627

about 1.1× the $13,117 Medicare rate · typically $9,797–$16,862

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,539

About the fair price

about $88 under the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $14,627 This hospital $14,539

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $2,341 Priciest $14,539

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

A fair price for a Total hip replacement is about $14,627 (about 1.1× the $13,117 Medicare rate). Winter Haven Hospital charges insurers about $14,539 — about the fair price. Located in Winter Haven, FL.

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	$13,820 - $20,046	105%
Blue Cross Blue Shieldmajor	$12,915	98%
Aetnamajor	$12,915 - $14,853	98%
Cignamajor	$14,853	113%
Humanamajor	$13,417 - $16,144	102%
Ambetter (Centene)	$29,060 - $32,934	222%
WellCare	$18,082	138%
+ 6 smaller / regional plans	$12,915 - $14,853

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 Winter Haven Hospital 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 Winter Haven Hospital

Compare: Total hip replacement at other FL hospitals

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