CMS Price Transparency Data

Total hip replacement

Facility: Bear Lake Memorial Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,523
about 0.3× the $13,117 Medicare rate · typically $1,456–$8,265
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,124
Above the fair price
about $1,601 over the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $3,523 This hospital $5,124 Cash price $4,490 Hospital's list price $5,283

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 5 of 6 other ID hospitals charge more for the same procedure.

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 $3,523 (about 0.3× the $13,117 Medicare rate). Bear Lake Memorial Hospital charges insurers about $5,124, or about $4,490 in cash — above the fair price. Located in Montpelier, 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 $3,523. 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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $5,124 39%
SelectHealth $5,018 38%
Government programs also on file: Medicare, Medicaid.

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: 164 South Fifth Street, Montpelier, ID 83254
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals