CMS Price Transparency Data

Total hip replacement

Facility: HSHS St Elizabeth's Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9,815
about 0.7× the $13,117 Medicare rate · typically $6,444–$13,893
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,365
Above the fair price
about $4,550 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $9,815 This hospital $14,365 Cash price $13,706 Hospital's list price $19,037

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 $14,365

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 $9,815 (about 0.7× the $13,117 Medicare rate). HSHS St Elizabeth's Hospital charges insurers about $14,365, or about $13,706 in cash — above the fair price. Located in O Fallon, 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 $9,815. 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.

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 $14,365 - $19,037 110%
Blue Cross Blue Shieldmajor $14,365 - $19,037 110%
Aetnamajor $12,469 - $14,365 95%
Cignamajor $15,039 - $19,037 115%
Humanamajor $14,365 110%
HealthLink $15,134 - $19,037 115%
HealthPartners $14,365 110%
Meridian $9,050 69%
Molina $8,639 - $15,036 66%
+ 18 smaller / regional plans $5,330 - $19,037
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals