CMS Price Transparency Data

Total hip replacement

Facility: CHI Health Mercy Council Bluffs

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9,657
about 0.7× the $13,117 Medicare rate · typically $5,916–$15,288
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,539
Above the fair price
about $2,882 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $9,657 This hospital $12,539

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $2,406 Priciest $12,539

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

A fair price for a Total hip replacement is about $9,657 (about 0.7× the $13,117 Medicare rate). CHI Health Mercy Council Bluffs charges insurers about $12,539 — above the fair price. Located in Council Bluffs, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $9,657. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $12,539 96%
Blue Cross Blue Shieldmajor $12,539 96%
Humanamajor $12,539 96%
Ambetter (Centene) $12,216 - $12,916 93%
Amerigroup $12,216 - $13,166 93%
Medica $2,378 - $18,690 18%
Molina $12,456 95%
+ 8 smaller / regional plans $11,265 - $27,838

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 800 Mercy Drive, Council Bluffs, IA 51503
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals