Total hip replacement
Facility: Labette Health
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $11,899
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $7,735 | 59% |
| Medicaid / KanCare | $8,594 - $11,899 | 66% |
| Healthy Blue | $8,679 | 66% |
| Humana | $11,899 | 91% |
| Blue Cross Blue Shield | $11,899 - $15,763 | 91% |
| UnitedHealthcare | $11,899 | 91% |
| Wellcare | $11,899 | 91% |
| Kansas Superior Select | $12,256 | 93% |
| Ambetter / Centene | $13,684 | 104% |
| Montgomery County | $21,776 | 166% |
Consumer Guidance & Cost Commentary
For a total hip replacement at Labette Health in Parsons, KS, the negotiated rates for in-network insurance plans range from $7,735 to $15,763, with a median negotiated amount of $11,899. This commercial rate is significantly higher than the Medicare benchmark of $13,116.76, which serves as the federal baseline for true cost. While commercial contracts often cap payments to protect members, these negotiated fees can exceed the actual cost of care, meaning patients with high-deductible plans might save money by paying the cash price directly, provided the facility offers a self-pay or prompt-pay discount. It is crucial to verify the specific cash rate with the hospital before scheduling, as paying out-of-pocket can sometimes result in a lower total cost than the insurance allowed amount.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected charges can still occur for ancillary services or if a waiver is signed without reading it. To ensure accuracy, consumers should request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a discrepancy is found, a formal written dispute sent to the billing supervisor is the most effective way to resolve the issue. Additionally, since commercial rates often include administrative overhead that inflates the baseline price, comparing the facility's negotiated rate to the Medicare benchmark provides a clearer picture of fair pricing than looking at the hospital's inflated chargemaster list.