CMS Price Transparency Data
Total hip replacement
Facility: Decatur County Hospital
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
Medicare pays $13,117 Fair price $2,175 Cash price $2,922 Hospital's list price $3,652
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,047 - $3,104 | 8% |
| Blue Cross Blue Shieldmajor | $2,377 | 18% |
| Aetnamajor | $1,047 | 8% |
| Amerigroup | $1,100 | 8% |
| Priority Health | $3,652 | 28% |
| + 8 smaller / regional plans | $1,899 - $3,725 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Decatur County Hospital
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.