CMS Price Transparency Data

Total hip replacement

Facility: Eastern Idaho Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,609
about 0.7× the $13,117 Medicare rate · typically $4,819–$16,135
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,479
Below the fair price — a good deal
about $3,130 under the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $8,609 This hospital $5,479

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

A typical price — 3 charge more and 3 charge less, among the 7 ID hospitals compared.

Cheapest $2,769 Priciest $13,204

Black dot = this hospital, among the 7 ID hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $8,609 (about 0.7× the $13,117 Medicare rate). Eastern Idaho Regional Medical Center charges insurers about $5,479 — below the fair price — a good deal. Located in Idaho Falls, ID.

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✓ Humana AetnaCignaKaiser 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 $42,380 323%
Blue Cross Blue Shieldmajor $988 - $34,296 8%
Humanamajor $14,000 107%
Molina $988 8%
+ 1 smaller / regional plan $18,279

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Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals