CMS Price Transparency Data
Total hip replacement
Facility: Clarinda Regional Health Center
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,583
about 0.1× the $13,117 Medicare rate · typically $1,170–$3,204
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,583 Cash price $3,305 Hospital's list price $5,602
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 | $943 - $6,722 | 7% |
| Blue Cross Blue Shieldmajor | $1,068 | 8% |
| Aetnamajor | $1,047 | 8% |
| Ambetter (Centene) | $1,047 - $7,469 | 8% |
| Amerigroup | $3,735 - $7,469 | 28% |
| Molina | $1,047 | 8% |
| + 1 smaller / regional plan | $3,735 - $7,469 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Clarinda 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.