Total hip replacement
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $11,987
- Cash Discount Price: $8,592
- 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 |
|---|---|---|
| Sedgwick Claims Management Services [53201618] | $3,089 | 24% |
| Gallagher Bassett [5032000103] | $3,089 | 24% |
| Alt Bnsf Railway Co [503301503] | $3,089 | 24% |
| Workers Comp [503999901] | $3,089 - $11,987 | 24% |
| Prime Health Services [503999912] | $3,089 | 24% |
| UnitedHealthcare | $8,509 - $11,987 | 65% |
| Medicaid / KanCare | $8,509 | 65% |
| Blue Cross Blue Shield | $8,509 - $16,084 | 65% |
| Ku Athletics [503200094] | $11,987 | 91% |
| Medicare (plans) | $12,226 | 93% |
| Allwell [503200078] | $12,346 | 94% |
| Triwest [503201703] | $12,645 | 96% |
| Humana | $12,645 | 96% |
| Tricare | $12,645 | 96% |
| Centurion [5032000966] | $15,583 | 119% |
| Ambetter / Centene | $17,381 | 133% |
| Fort Hays State Student Athletes [5032000960] | $25,172 | 192% |
| Occunet [503999930] | $25,172 | 192% |
| 6 Degrees Health [503999050] | $29,967 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $37,936 | 289% |
Consumer Guidance & Cost Commentary
For the CPT code 27130 (Total hip replacement) at the University Of Ks Hlth System Great Bend Campus, the facility's gross charge is $42,962.00, which is significantly higher than the state average for this procedure. While Medicare sets a benchmark rate of $13,116.76, the facility's negotiated rates with major payers range from $3,089 to $37,936, with a median negotiated amount of $11,987.00. It is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures; however, for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $8,592.00 directly may result in lower total costs compared to insurance reimbursement, provided the patient can afford the upfront payment.
Patients should proactively contact the hospital's billing department to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the cash price by 20% to 50% for upfront payment. Since the facility is an acute care hospital in Great Bend, KS, and operates under a government hospital district authority, verifying the specific discount structure before scheduling is essential to avoid unexpected balances. Additionally, because over 80% of hospital bills contain errors, consumers should request a detailed, itemized bill rather than accepting a summary invoice, and should dispute any balance billing immediately if they receive a surprise charge, as federal protections like the No Surprises Act may apply depending on the specific services rendered.