Total hip replacement
Facility: Meade District Hospital
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $20,689
- Cash Discount Price: $5,000
- vs. Medicare Baseline: 1.58x 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 | $20,689 | 158% |
Consumer Guidance & Cost Commentary
For a total hip replacement at Meade District Hospital in Meade, Kansas, the cash price is $5,000, which is significantly lower than the facility's negotiated rate of $20,689. This cash price is also lower than the Medicare benchmark of $13,116.76, suggesting that paying out-of-pocket may be the most cost-effective option for patients with high-deductible plans or those without insurance. While the facility is a Critical Access Hospital owned by a Government Hospital District, the cash rate remains the primary reference point for self-pay patients. It is important to note that commercial insurance rates often exceed cash prices due to administrative overhead and contract structures, meaning that for this specific procedure, the cash price represents a substantial discount compared to what insurers typically pay.
Patients should verify their specific plan details before scheduling, as the negotiated rate of $20,689 applies to in-network commercial payers, but individual deductibles and copays could result in higher out-of-pocket costs if the patient has not yet met their plan threshold. To ensure you are receiving the best possible rate, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the $5,000 cash price. Additionally, if you receive a bill, request a full itemized statement to review every line item for errors, unbundled codes, or services not rendered, as these audits are the most effective way to identify billing mistakes. Always compare the final allowed amount to the Medicare rate to understand the true cost of care, rather than relying on the hospital's inflated chargemaster list.