CMS Price Transparency Data

Total hip replacement

Facility: Northwest Health - Porter

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14,025
about 1.1× the $13,117 Medicare rate · typically $6,931–$23,218
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,450
Above the fair price
about $10,425 over the fair price · 1.9× Medicare
Medicare pays $13,117 Fair price $14,025 This hospital $24,450 Cash price $37,013 Hospital's list price $137,084

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $2,968 Priciest $24,450

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

A fair price for a Total hip replacement is about $14,025 (about 1.1× the $13,117 Medicare rate). Northwest Health - Porter charges insurers about $24,450, or about $37,013 in cash — above the fair price. Located in Valparaiso, IN.

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 $14,025. 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 $6,159 - $26,103 47%
Blue Cross Blue Shieldmajor $13,346 - $55,360 102%
Aetnamajor $1,358 - $66,211 10%
Cignamajor $38,109 291%
Humanamajor $13,346 - $26,103 102%
CareSource $26,103 199%
Devoted Health $13,613 104%
Health Net $60,591 - $81,154 462%
MagnaCare $34,596 264%
+ 18 smaller / regional plans $13,346 - $109,667
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 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.

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Facility Profile & Credentials

  • Address: 85 East Us Hwy 6, Valparaiso, IN 46383
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals