CMS Price Transparency Data
Total hip replacement
Facility: St Anthony Regional Hospital & Nursing Home
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,738
about 0.1× the $13,117 Medicare rate · typically $1,390–$2,675
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,738 Cash price $3,674 Hospital's list price $3,674
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✓ Humana CignaKaiser 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 - $1,676 | 8% |
| Blue Cross Blue Shieldmajor | $1,047 - $3,674 | 8% |
| Aetnamajor | $1,047 - $2,562 | 8% |
| Humanamajor | $1,047 - $3,123 | 8% |
| Medica | $1,047 | 8% |
| Molina | $3,747 | 29% |
| + 3 smaller / regional plans | $1,079 - $3,674 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Anthony Regional Hospital & Nursing Home
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.