CMS Price Transparency Data

Total hip replacement

Facility: UW Health

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,204
Cash Discount Price: $2,053
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at UW Health is $1,204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,053. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$2,053

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,204

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $2,053 (16%)

Insurance Median: $1,204 (9%)

Cash: $2,053 (16% of Medicare)

Ins. Median: $1,204 (9% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$1,204 - $2,265	9%
Blue Cross Blue Shield	$1,204 - $12,830	9%
Humana	$1,204	9%
Medicare (plans)	$1,204 - $1,324	9%
Mychoice Wi Medical Adv	$1,204	9%
UnitedHealthcare	$1,204 - $2,341	9%
Medicaid / KanCare	$1,272	10%
Cigna	$2,346	18%
Quartz Fully Insured	$2,540	19%
Alliance Premier Network	$2,560	20%
The Alliance	$2,755	21%
Quartz Aso	$2,869	22%
Ecoh	$3,078 - $3,537	23%
Hfn	$3,078 - $3,537	23%
Wps	$6,415	49%
Beloit Healt System	$7,441	57%
Workers Comp	$7,727	59%
Mercy Care	$8,981	68%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,053.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UW Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.