CMS Price Transparency Data

Total hip replacement

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,356
Cash Discount Price: $1,389
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Cameron Memorial Community Hospital Inc is $1,356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,389. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.10x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$1,389

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,356

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: $1,389 (11%)

Insurance Median: $1,356 (10%)

Cash: $1,389 (11% of Medicare)

Ins. Median: $1,356 (10% 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	$1,154	9%
Cigna	$1,154	9%
Corvel	$1,154	9%
Encore	$1,154	9%
Humana	$1,154 - $1,471	9%
Phcs	$1,154	9%
Plain Church Group Ministry	$1,154	9%
Sagamore Health Network	$1,154	9%
UnitedHealthcare	$1,157 - $1,590	9%
Caresource Indiana Of In	$1,159 - $1,327	9%
Managed Health Services	$1,159	9%
Mdwise	$1,159	9%
Coventry	$1,385	11%
Lucent	$1,616	12%
Frontpath	$1,671	13%
Three Rivers Preferred	$1,779 - $177,900	14%
Centivo	$1,789	14%
Lutheran Preferred	$1,898	14%
Blue Cross Blue Shield	$1,975	15%
Php	$2,013	15%
Signature Care	$2,026	15%

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 $1,389.
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 Cameron Memorial Community Hospital Inc 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.