CMS Price Transparency Data

Total hip replacement

Facility: Carle Foundation Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$10,720
about 0.8× the $13,117 Medicare rate · typically $8,657–$14,628
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,758
Above the fair price
about $3,038 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $10,720 This hospital $13,758

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $2,564 Priciest $13,758

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $10,720 (about 0.8× the $13,117 Medicare rate). Carle Foundation Hospital charges insurers about $13,758 — above the fair price. Located in Urbana, IL.

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 $10,720. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,758 105%
Blue Cross Blue Shieldmajor $13,758 105%
Aetnamajor $1,240 - $14,033 9%
Humanamajor $1,204 - $13,758 9%
Meridian $13,758 105%
Molina $13,758 105%
WellCare $13,758 105%

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: 611 West Park Street, Urbana, IL 61801
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals