CMS Price Transparency Data

Total hip replacement

Facility: Harrison County Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,154
Cash Discount Price: $1,278
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Harrison County Hospital is $1,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,278. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$1,278

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,154

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: $1,278 (10%)

Insurance Median: $1,154 (9%)

Cash: $1,278 (10% of Medicare)

Ins. Median: $1,154 (9% 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
Tricare	$979	7%
Aetna	$1,064 - $1,154	8%
Blue Cross Blue Shield	$1,064 - $1,420	8%
Buckeye Exchange-All Plans	$1,064	8%
Caresource Mcaid Hip	$1,064	8%
Caresource Mcr Adv	$1,064	8%
Mdwise Mcaid Hip	$1,064	8%
Mhs Exchange-All Other Plans	$1,064	8%
Mhs Mcaid Hip	$1,064	8%
Passport Mcr Adv	$1,064	8%
UnitedHealthcare	$1,064 - $1,203	8%
Mhs Mcr Adv	$1,075	8%
Communicare Adv-All Plans	$1,085	8%
Caresource Exchange-All Other Plans	$1,117	9%
Caresource Mcaid Hhw	$1,154	9%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$1,154	9%
Mhs Mcaid Hhw/Hcc	$1,154	9%
Passport Mcaid-All Other Plans	$1,154	9%
Siho Exchange	$1,383	11%
Siho One Southern	$1,383	11%
Siho Ppo/Hmo - All Other Plans	$1,383	11%
Encore Encircle	$1,437	11%
Encore Ppo - All Other Plans	$1,437	11%
Cigna	$1,599	12%
Sagamore-All Plans	$1,599	12%
Beech Street Comm-All Plans	$1,810	14%
First Health-All Plans	$1,810	14%
Multiplan-All Plans	$1,917	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 $1,278.
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 Harrison County Hospital 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.