CMS Price Transparency Data

Total hip replacement

Facility: Shenandoah Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,886
about 0.1× the $13,117 Medicare rate · typically $1,088–$3,394
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,939
Above the fair price
about $1,053 over the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $1,886 This hospital $2,939 Cash price $2,659 Hospital's list price $4,090

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 3 charge more and 5 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 $1,886 (about 0.1× the $13,117 Medicare rate). Shenandoah Medical Center charges insurers about $2,939, or about $2,659 in cash — above the fair price. Located in Shenandoah, 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 $1,886. 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.

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 $890 - $4,090 7%
Blue Cross Blue Shieldmajor $2,939 22%
Aetnamajor $1,047 8%
Amerigroup $4,172 32%
Molina $1,047 - $4,090 8%
WellCare $1,047 8%
+ 3 smaller / regional plans $4,090 - $4,131
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (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: 300 Pershing Avenue, Shenandoah, IA 51601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals