CMS Price Transparency Data
Total hip replacement
Facility: Caribou Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,923
about 0.1× the $13,117 Medicare rate · typically $1,201–$4,287
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,923 Cash price $2,678 Hospital's list price $3,825
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $3,748 | 29% |
| Blue Cross Blue Shieldmajor | $1,060 - $3,343 | 8% |
| Aetnamajor | $158 - $2,742 | 1% |
| Cignamajor | $1,801 | 14% |
| Humanamajor | $1,060 | 8% |
| SelectHealth | $1,060 - $2,982 | 8% |
| + 5 smaller / regional plans | $1,060 - $3,710 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Caribou 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.