CMS Price Transparency Data

Total hip replacement

Facility: Santa Rosa Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,758

about 1.2× the $13,117 Medicare rate · typically $8,034–$20,023

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,086

About the fair price

about $672 under the fair price · 1.2× Medicare

Medicare pays $13,117 Fair price $15,758 This hospital $15,086 Cash price $20,872 Hospital's list price $139,150

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 $15,086

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 $15,758 (about 1.2× the $13,117 Medicare rate). Santa Rosa Medical Center charges insurers about $15,086, or about $20,872 in cash — about the fair price. Located in Milton, 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	$13,174 - $26,995	100%
Blue Cross Blue Shieldmajor	$13,174 - $26,302	100%
Aetnamajor	$13,174 - $78,063	100%
Cignamajor	$13,174 - $31,448	100%
Humanamajor	$6,137 - $13,174	47%
Ambetter (Centene)	$32,043	244%
Molina	$6,733	51%
Oscar Health	$40,411	308%
WellCare	$6,256 - $13,832	48%
+ 5 smaller / regional plans	$6,852 - $69,575

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 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 (about 20,872), 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 Santa Rosa 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 Santa Rosa Medical Center

Compare: Total hip replacement at other FL hospitals

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