CMS Price Transparency Data

Total hip replacement

Facility: St Luke's Nampa Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$8,155

about 0.6× the $13,117 Medicare rate · typically $3,914–$24,953

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $8,155 Cash price $15,889 Hospital's list price $15,889

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$13,029 - $13,621	99%
Blue Cross Blue Shieldmajor	$10,328 - $27,116	79%
Aetnamajor	$12,711 - $14,300	97%
Cignamajor	$12,711	97%
GEHA	$13,029	99%
Moda Health	$13,982	107%
PacificSource	$10,328 - $19,214	79%
SelectHealth	$10,328 - $19,214	79%
+ 5 smaller / regional plans	$10,328 - $27,116

Excludes 2 rental-network / third-party entries (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 15,889), 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 St Luke's Nampa Medical Center 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 St Luke's Nampa Medical Center

Compare: Total hip replacement at other ID hospitals

Benewah Community Hospital · Saint Maries $2,769
Bear Lake Memorial Hospital · Montpelier $5,124
West Valley Medical Center · Caldwell $5,146
Eastern Idaho Regional Medical Center · Idaho Falls $5,479
Treasure Valley Hospital · Boise $12,049
Madison Memorial Hospital · Rexburg $12,685
Northwest Specialty Hospital · Post Falls $13,204

Insurance negotiated median for the same procedure, sorted lowest first.