CMS Price Transparency Data

Total hip replacement

Facility: Ochsner Lafayette General Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$10,564

about 0.8× the $13,117 Medicare rate · typically $2,606–$12,012

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,707

About the fair price

about $1,143 over the fair price · 0.9× Medicare

Medicare pays $13,117 Fair price $10,564 This hospital $11,707 Cash price $16,781 Hospital's list price $79,908

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $3,775 Priciest $11,707

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

A fair price for a Total hip replacement is about $10,564 (about 0.8× the $13,117 Medicare rate). Ochsner Lafayette General Medical Center charges insurers about $11,707, or about $16,781 in cash — about the fair price. Located in Lafayette, LA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$11,707 - $12,229	89%
Blue Cross Blue Shieldmajor	$10,676 - $11,709	81%
Aetnamajor	$11,707	89%
Cignamajor	$2,422 - $11,707	18%
Humanamajor	$11,707	89%
WellCare	$12,293	94%
+ 3 smaller / regional plans	$11,707 - $12,046

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 16,781), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm Ochsner Lafayette General Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ochsner Lafayette General Medical Center

Compare: Total hip replacement at other LA hospitals

Desoto Regional Health System · Mansfield $3,775
St James Parish Hospital · Lutcher $4,665
Abrom Kaplan Memorial Hospital · Kaplan $8,126
Ochsner St Martin Hospital · Breaux Bridge $9,885
Ochsner Medical Center - Baton Rouge · Baton Rouge $11,008
Park Place Surgical Hospital · Lafayette $11,401
Cypress Pointe Surgical Hospital · Hammond $11,428
Ochsner St Anne General Hospital · Raceland $11,538

Insurance negotiated median for the same procedure, sorted lowest first.