CMS Price Transparency Data

Total hip replacement

Facility: Methodist Jennie Edmundson

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$9,432

about 0.7× the $13,117 Medicare rate · typically $5,979–$13,443

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,619

Below the fair price — a good deal

about $1,813 under the fair price · 0.6× Medicare

Medicare pays $13,117 Fair price $9,432 This hospital $7,619 Cash price $2,286 Hospital's list price $7,619

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 $7,619

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 $9,432 (about 0.7× the $13,117 Medicare rate). Methodist Jennie Edmundson charges insurers about $7,619, or about $2,286 in cash — below the fair price — a good deal. Located in Council Bluffs, IA.

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	$4,571 - $16,122	35%
Blue Cross Blue Shieldmajor	$2,646 - $24,610	20%
Aetnamajor	$3,028 - $12,911	23%
Humanamajor	$12,911	98%
Ambetter (Centene)	$2,169 - $27,197	17%
Medica	$3,238 - $18,955	25%
+ 2 smaller / regional plans	$1,991 - $26,803

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 2,286), 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 Methodist Jennie Edmundson 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 Methodist Jennie Edmundson

Compare: Total hip replacement at other IA hospitals

Henry County Health Center · Mount Pleasant $2,406
Wayne County Hospital · Corydon $2,430
Jones Regional Medical Center · Anamosa $2,498
Iowa Specialty Hospital - Clarion · Clarion $2,519
Southeast Iowa Regional Medical Center · West Burlington $2,666
Shenandoah Medical Center · Shenandoah $2,939
Unitypoint Health - Marshalltown · Marshalltown $3,038
Grinnell Regional Medical Center · Grinnell $3,049

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