CMS Price Transparency Data
Total hip replacement
Facility: Boundary Community Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,260
about 0.2× the $13,117 Medicare rate · typically $1,199–$5,154
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $2,260 Cash price $1,917 Hospital's list price $2,396
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 | $1,060 - $15,132 | 8% |
| Blue Cross Blue Shieldmajor | $2,477 - $17,090 | 19% |
| Aetnamajor | $3,290 - $11,571 | 25% |
| Cignamajor | $1,772 - $16,912 | 14% |
| Molina | $988 - $13,117 | 8% |
| PacificSource | $511 - $17,268 | 4% |
| + 2 smaller / regional plans | $2,038 - $17,446 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Boundary Community Hospital
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.