CMS Price Transparency Data

Total hip replacement

Facility: Mercyone Clinton Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,492
about 0.3× the $13,117 Medicare rate · typically $3,437–$11,224
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,117
Well above the fair price
about $8,625 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $4,492 This hospital $13,117 Cash price $42,088

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 $13,117

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total hip replacement is about $4,492 (about 0.3× the $13,117 Medicare rate). Mercyone Clinton Medical Center charges insurers about $13,117, or about $42,088 in cash — well above the fair price. Located in Clinton, 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 $4,492. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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 $13,663 104%
Blue Cross Blue Shieldmajor $13,117 - $13,529 100%
Aetnamajor $13,395 102%
Kaiser Permanentemajor $13,117 100%
Ambetter (Centene) $22,964 175%
Oscar Health $18,647 142%
+ 9 smaller / regional plans $11,823 - $27,474
Government programs also on file: Medicare, Medicaid.

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: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals