CMS Price Transparency Data

Total hip replacement

Facility: Iowa Specialty Hospital - Clarion

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,175
about 0.2× the $13,117 Medicare rate · typically $1,368–$4,089
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,519
Above the fair price
about $344 over the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $2,175 This hospital $2,519 Cash price $2,443 Hospital's list price $4,071

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 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 $2,175 (about 0.2× the $13,117 Medicare rate). Iowa Specialty Hospital - Clarion charges insurers about $2,519, or about $2,443 in cash — above the fair price. Located in Clarion, 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 $2,175. 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✓ Cigna HumanaKaiser 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 $2,324 18%
Blue Cross Blue Shieldmajor $2,445 19%
Aetnamajor $1,281 10%
Cignamajor $2,830 22%
HealthPartners $2,593 - $3,053 20%
+ 2 smaller / regional plans $1,728 - $2,646
Government programs also on file: Military & VA.
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

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1316 South Main Street, Clarion, IA 50525
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals