Total hip replacement
Facility: Indiana University Health Jay, Inc.
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $26,103 compared to the $4,055 fair price benchmark.
5-Star CMS clinical quality rating paired with 6.44× fair market pricing.
Highest price of the 9 IN hospitals we have prices for — worth calling around.
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 $4,055 (about 0.3× the $13,117 Medicare rate). Indiana University Health Jay, Inc. charges insurers about $26,103 — well above the fair price. Located in Portland, 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 $4,055. 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.
2 of 6 major insurers have a published price at this hospital
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 | $26,103 | 199% |
| Blue Cross Blue Shieldmajor | $26,103 - $55,000 | 199% |
| CareSource | $26,103 | 199% |
| Health Net | $25,710 | 196% |
| + 1 smaller / regional plan | $26,103 |
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.
Other Procedures at Indiana University Health Jay, Inc.
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.
Audit a Bill or Quote at Indiana University Health Jay, Inc. (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $22,741
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $22,741).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Indiana University Health Jay, Inc.'s billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $4,055 Fair BaseRate ($13,117 Medicare)
Your bill ($62,647) is $58,592 above the denoised Fair BaseRate ($4,055) and 4.8× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.