Total hip replacement
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $5,390
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.41x 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 |
|---|---|---|
| Aetna | $5,390 | 41% |
Consumer Guidance & Cost Commentary
For a total hip replacement at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the negotiated rate for Aetna is $5,390, which is significantly lower than the Medicare benchmark of $13,116.76. While the facility does not list a specific cash price in this report, patients should be aware that cash-pay options can sometimes be cheaper than insurance negotiated rates, particularly for those with high-deductible plans. It is important to contact the hospital directly to inquire about self-pay or prompt-pay discounts, as these upfront fee reductions can bypass the administrative costs and higher negotiated rates associated with insurance billing.
This pricing data reflects a single payer with no county or state average provided for comparison. Patients should be cautious of balance billing, which occurs when a provider bills the difference between their full charge and what insurance pays, though the No Surprises Act protects against this for out-of-network care at in-network facilities. To ensure accuracy, consumers should request an itemized billing audit before paying any invoice, as summary bills often obscure individual charges and errors. Disputing any unexpected balances in writing with the billing supervisor is the most effective way to verify that all services rendered were correctly coded and billed.