CMS Price Transparency Data

Total hip replacement

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $10,561
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at HCA Florida Bayonet Point Hospital is $10,561. 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 0.81x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,561

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: $10,561 (81%)

Ins. Median: $10,561 (81% 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
Corvel Corporation	$1,074 - $10,100	8%
Rockport Healthcare Group	$1,074 - $10,100	8%
Prime Health	$1,096 - $10,312	8%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,638	12%
Access 2 Healthcare Physicians Freedom Health	$1,950	15%
Access 2 Healthcare Physicians Optimum	$1,950	15%
Freedom Health Care	$1,950	15%
Molina	$1,950 - $2,702	15%
Optimum Healthcare	$1,950	15%
Simply Healthcare	$2,250 - $28,852	17%
Avmed	$4,922 - $39,037	38%
Cigna	$7,480 - $16,759	57%
Blue Cross Blue Shield	$9,559 - $15,950	73%
Truli	$9,559 - $10,350	73%
Clear Spring Health	$11,000	84%
Florida Complete Care	$15,300	117%
Aetna	$16,085 - $29,886	123%
Gold Kidney Of Florida	$16,089	123%
Devoted Health	$16,759	128%
American Health Plan	$17,429	133%
Evolutions Healthcare Systems	$28,500	217%
Oscar	$33,071	252%
Humana	$34,002	259%
United	$44,005	335%

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 HCA Florida Bayonet Point Hospital 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.