CMS Price Transparency Data

Total hip replacement

Facility: Madison Memorial Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,165
about 0.6× the $13,117 Medicare rate · typically $6,963–$12,921
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,685
Above the fair price
about $4,520 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $8,165 This hospital $12,685 Cash price $18,269 Hospital's list price $24,358

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 5 of 6 other ID hospitals charge less.

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 $8,165 (about 0.6× the $13,117 Medicare rate). Madison Memorial Hospital charges insurers about $12,685, or about $18,269 in cash — above the fair price. Located in Rexburg, ID.

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 $8,165. 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.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $12,622 96%
Aetnamajor $12,622 - $12,867 96%
Moda Health $25,244 192%
Molina $12,622 96%
SelectHealth $12,748 97%
+ 3 smaller / regional plans $12,622 - $21,457
Government programs also on file: Military & VA.

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: 450 East Main Street, Rexburg, ID 83440
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals