Total hip replacement
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $8,509
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.65x 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 |
|---|---|---|
| UnitedHealthcare | $696 - $8,509 | 5% |
| Aetna | $723 - $8,849 | 6% |
| Medicaid / KanCare | $723 - $8,849 | 6% |
| Providrs Care | $1,563 | 12% |
| Blue Cross Blue Shield | $17,071 - $17,970 | 130% |
Consumer Guidance & Cost Commentary
For a total hip replacement at Ascension Via Christi Hospital Manhattan, Inc, the negotiated rates for major payers like UnitedHealthcare and Aetna range from $723 to $8,849, while Medicaid / KanCare plans see a similar range of $723 to $8,849 across four plans. In contrast, the fixed Medicare benchmark for this procedure is $13,116.76, which serves as a scientifically validated baseline for the "true cost" of care. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; for patients with high-deductible plans, paying cash or utilizing a self-pay rate may result in lower out-of-pocket costs than the insurance negotiated amount. Additionally, facilities frequently offer prompt-pay discounts of 20% to 50% for upfront payment, which bypasses the costly claims processing cycle and can significantly reduce the final bill.
While the facility is located in Manhattan, Kansas (ZIP 66502), the provided data does not include specific county or state average comparisons for this procedure, so direct regional benchmarking is not available in this report. However, the facility's ownership as a voluntary non-profit private hospital and its four-star rating suggest a commitment to community care standards. Patients should be aware that hospitals often issue summary bills that obscure individual line items, making it difficult to identify errors such as unbundled codes or services not rendered. To protect against overcharging, consumers should always request a full itemized CPT-coded bill before negotiating or paying, and they should verify their deductible status to ensure they are not inadvertently paying the full negotiated rate before their plan covers its