Total hip replacement
Facility: Centura St. Catherine-Dodge City
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $1,153
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.09x 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 |
|---|---|---|
| Blue Cross Blue Shield | $1,153 | 9% |
| Aetna | $1,153 | 9% |
| Cigna | $1,153 | 9% |
| Medicare (plans) | $1,153 | 9% |
| Kaiser | $1,153 | 9% |
| Kansas Health | $1,153 | 9% |
| Humana | $1,153 | 9% |
Consumer Guidance & Cost Commentary
For a total hip replacement at Centura St. Catherine-Dodge City in Dodge City, KS, the negotiated rate is $1,153, which is significantly lower than the Medicare benchmark of $13,116.76. While this facility is in-network for major payers like Blue Cross Blue Shield, Aetna, and Cigna, the negotiated amount represents a substantial discount from the federal baseline. It is important to note that while commercial insurance contracts often cap costs at negotiated rates, these figures can still exceed cash prices for patients with high-deductible plans. If your insurance allows you to pay out-of-network or if your deductible is high, the cash price might be lower than the $1,153 allowed by your insurer, potentially saving you money on this specific procedure.
To ensure you are receiving the most accurate pricing, always request an itemized bill before finalizing payment, as summary bills may obscure individual charges or unbundled services. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if you settle the bill upfront. Since the facility is a Proprietary Acute Care Hospital, verify that your specific plan is covered under the negotiated rate of $1,153 and confirm your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible could result in higher out-of-pocket costs than anticipated.