CMS Price Transparency Data

Total hip replacement

Facility: Saint Joseph East

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$10,573
about 0.8× the $13,117 Medicare rate · typically $6,544–$13,672
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,831
Above the fair price
about $2,258 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $10,573 This hospital $12,831

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $4,847 Priciest $12,831

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

A fair price for a Total hip replacement is about $10,573 (about 0.8× the $13,117 Medicare rate). Saint Joseph East charges insurers about $12,831 — above the fair price. Located in Lexington, KY.

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 $10,573. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,147 100%
Blue Cross Blue Shieldmajor $12,641 96%
Aetnamajor $13,021 99%
Humanamajor $3,078 - $12,641 23%
CareSource $25,283 193%
Molina $13,273 101%
WellCare $12,641 96%

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: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals