CMS Price Transparency Data

Total hip replacement

Facility: Mahaska Health Partnership

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,038

about 0.1× the $13,117 Medicare rate · typically $891–$2,842

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $1,038 Cash price $4,462 Hospital's list price $5,249

How we calculate the fair BaseRate →

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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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	8%
Aetnamajor	$1,047	8%
Humanamajor	$1,047	8%
Amerigroup	$1,047	8%
Molina	$5,249	40%
+ 2 smaller / regional plans	$1,079 - $1,205

Government programs also on file: Medicaid.

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

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 4,462), 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 Mahaska Health Partnership 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 Mahaska Health Partnership

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.