CMS Price Transparency Data
Total hip replacement
Facility: St Claire Regional Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$5,448
about 0.4× the $13,117 Medicare rate · typically $1,158–$16,727
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $5,448 Cash price $1,430 Hospital's list price $1,907
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,107 - $1,322 | 8% |
| Aetnamajor | $1,907 | 15% |
| Humanamajor | $1,107 - $1,384 | 8% |
| CareSource | $1,107 - $1,550 | 8% |
| HealthLink | $1,174 | 9% |
| WellCare | $1,384 - $1,945 | 11% |
| + 1 smaller / regional plan | $1,440 |
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.
Other Procedures at St Claire Regional Medical Center
Compare: Total hip replacement at other KY hospitals
- Clark Regional Medical Center · Winchester $4,847
- Saint Joseph London · London $11,889
- Norton Hospitals, Inc · Louisville $12,062
- Saint Joseph Mount Sterling · Mount Sterling $12,340
- CHI Saint Joseph Flaget Memorial Hospital · Bardstown $12,567
- Uofl Health - Shelbyville Hospital · Shelbyville $12,665
- Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital · Louisville $12,665
- University of Louisville Hospital · Louisville $12,665
Insurance negotiated median for the same procedure, sorted lowest first.