CMS Price Transparency Data
Total hip replacement
Facility: Ascension St Vincent Clay
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,836
about 0.1× the $13,117 Medicare rate · typically $1,519–$4,270
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,836
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 | $266 - $9,045 | 2% |
| Blue Cross Blue Shieldmajor | $947 - $9,045 | 7% |
| Aetnamajor | $9,045 | 69% |
| Humanamajor | $9,045 | 69% |
| Ambetter (Centene) | $9,045 | 69% |
| CareSource | $9,045 | 69% |
| + 9 smaller / regional plans | $947 - $9,045 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Ascension St Vincent Clay
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.