CMS Price Transparency Data

Total hip replacement

Facility: Ottumwa Regional Health Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,143

about 0.5× the $13,117 Medicare rate · typically $6,487–$16,828

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,776

Well above the fair price

about $5,633 over the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $7,143 This hospital $12,776 Cash price $13,566 Hospital's list price $33,915

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 $12,776

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 $7,143 (about 0.5× the $13,117 Medicare rate). Ottumwa Regional Health Center charges insurers about $12,776, or about $13,566 in cash — well above the fair price. Located in Ottumwa, 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 $7,143. 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✓ 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	$12,353 - $36,027	94%
Blue Cross Blue Shieldmajor	$11,990 - $27,360	91%
Aetnamajor	$12,723	97%
Humanamajor	$12,970	99%

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 13,566), 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 Ottumwa Regional Health 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 Ottumwa Regional Health 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
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.