CMS Price Transparency Data

Total hip replacement

Facility: Witham Health Services

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$3,685

about 0.3× the $13,117 Medicare rate · typically $1,502–$23,133

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $3,685 Cash price $884 Hospital's list price $1,263

How we calculate the fair BaseRate →

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	$240 - $2,957	2%
Blue Cross Blue Shieldmajor	$191 - $13,584	1%
Aetnamajor	$228 - $13,991	2%
Humanamajor	$286 - $3,526	2%
CareSource	$13,855 - $25,809	106%
+ 4 smaller / regional plans	$283 - $13,584

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 884), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm Witham Health Services is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Witham Health Services

Compare: Total hip replacement at other IN hospitals

Memorial Hospital and Health Care Center · Jasper $2,968
Pinnacle Hospital · Crown Point $7,516
Goshen Hospital · Goshen $12,409
Norton Scott Hospital · Scottsburg $13,253
Norton-King's Daughters' Health · Madison $13,479
Columbus Regional Hospital · Columbus $13,479
Marion General Hospital · Marion $13,528
Eskenazi Health · Indianapolis $13,583

Insurance negotiated median for the same procedure, sorted lowest first.