CMS Price Transparency Data

Total hip replacement

Facility: Southeast Iowa Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,035

about 0.3× the $13,117 Medicare rate · typically $2,241–$7,189

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,666

Below the fair price — a good deal

about $1,369 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $4,035 This hospital $2,666 Hospital's list price $3,277

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IA hospitals compared.

Cheapest $2,406 Priciest $3,913

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 $4,035 (about 0.3× the $13,117 Medicare rate). Southeast Iowa Regional Medical Center charges insurers about $2,666 — below the fair price — a good deal. Located in West Burlington, 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	$2,952	23%
Blue Cross Blue Shieldmajor	$2,498 - $23,639	19%
Aetnamajor	$2,036	16%
Humanamajor	$1,181	9%
+ 9 smaller / regional plans	$960 - $10,493

Government programs also on file: Medicaid.

Excludes 2 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, 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 Southeast Iowa 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 Southeast Iowa Regional Medical Center

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
Shenandoah Medical Center · Shenandoah $2,939
Unitypoint Health - Marshalltown · Marshalltown $3,038
Grinnell Regional Medical Center · Grinnell $3,049
Broadlawns Medical Center · Des Moines $3,913

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