CMS Price Transparency Data
Total hip replacement
Facility: Phoebe Sumter Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$13,331
about 1.0× the $13,117 Medicare rate · typically $6,342–$16,796
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $13,331 Cash price $3,407 Hospital's list price $5,678
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $11,476 - $17,439 | 87% |
| Ambetter (Centene) | $19,689 | 150% |
| Clover Health | $11,588 | 88% |
| + 2 smaller / regional plans | $11,813 - $16,314 |
Self-Pay How to get the cash price
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Other Procedures at Phoebe Sumter Medical Center
Compare: Total hip replacement at other GA hospitals
- Navicent Health Baldwin · Milledgeville $4,455
- Atrium Health Navicent Rehabilitation Hopsital · Macon $4,547
- Atrium Health Navicent the Medical Center · Macon $4,578
- Optim Medical Center - Tattnall · Reidsville $4,995
- Savannah Health Services LLC DBA Memorial Health University Medical Center · Savannah $6,761
- Fairview Park Hospital · Dublin $7,137
- Doctors Hospital · Augusta $7,137
- Emory Rehabilitation Hospital · Atlanta $7,499
Insurance negotiated median for the same procedure, sorted lowest first.