CMS Price Transparency Data
Total hip replacement
Facility: Clay County Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,226
about 0.2× the $13,117 Medicare rate · typically $1,173–$7,528
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $2,226
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,495 | 11% |
| Blue Cross Blue Shieldmajor | $2,655 | 20% |
| Aetnamajor | $1,204 | 9% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Clay County Hospital
Compare: Total hip replacement at other IL hospitals
- Blessing Hospital · Quincy $2,564
- OSF Saint Anthony's Health Center · Alton $4,140
- Trinity Rock Island · Rock Island $4,171
- Edward Hospital · Naperville $6,678
- Northwest Community Hospital 1 · Arlington Heights $7,505
- Elmhurst Memorial Hospital · Elmhurst $8,847
- Northshore University Healthsystem - Evanston Hospital · Evanston $10,156
- Swedish Hospital · Chicago $10,880
Insurance negotiated median for the same procedure, sorted lowest first.