CMS Price Transparency Data

Total hip replacement

Facility: East Georgia Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$16,644

about 1.3× the $13,117 Medicare rate · typically $12,419–$20,007

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,339

About the fair price

about $1,695 over the fair price · 1.4× Medicare

Medicare pays $13,117 Fair price $16,644 This hospital $18,339 Cash price $27,261 Hospital's list price $100,967

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $4,455 Priciest $18,339

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

A fair price for a Total hip replacement is about $16,644 (about 1.3× the $13,117 Medicare rate). East Georgia Regional Medical Center charges insurers about $18,339, or about $27,261 in cash — about the fair price. Located in Statesboro, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$6,168 - $23,266	47%
Blue Cross Blue Shieldmajor	$24,243 - $63,616	185%
Aetnamajor	$12,618 - $80,773	96%
Humanamajor	$12,035	92%
Ambetter (Centene)	$21,875	167%
CareSource	$12,635 - $22,041	96%
Clover Health	$12,035	92%
Health Net	$12,245	93%
+ 6 smaller / regional plans	$9,658 - $85,822

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

Excludes 6 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 27,261), 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 East Georgia Regional 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 East Georgia Regional Medical Center

Compare: Total hip replacement at other GA hospitals

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