CMS Price Transparency Data

Total hip replacement

Facility: Hospital District #1 of Rice County

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,827
about 0.2× the $13,117 Medicare rate · typically $1,214–$10,489
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,598
Well above the fair price
about $5,771 over the fair price · 0.7× Medicare
Medicare pays $13,117 Fair price $2,827 This hospital $8,598

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KS hospitals compared.

Cheapest $2,346 Priciest $11,681

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $2,827 (about 0.2× the $13,117 Medicare rate). Hospital District #1 of Rice County charges insurers about $8,598 — well above the fair price. Located in Lyons, KS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,827. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,113 8%
Blue Cross Blue Shieldmajor $16,084 123%
+ 2 smaller / regional plans $1,113 - $19,675
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 619 South Clark Avenue, Lyons, KS 67554
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals