CMS Price Transparency Data

Total hip replacement

Facility: Ochsner LSU Health Shreveport

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $12,074
Cash Discount Price: $20,338
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Ochsner LSU Health Shreveport is $12,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,338. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.92x the Medicare baseline. Located in 1541 Kings Highway, Shreveport, LA.

Cash / Self-Pay

$20,338

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,074

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $20,338 (155%)

Insurance Median: $12,074 (92%)

Cash: $20,338 (155% of Medicare)

Ins. Median: $12,074 (92% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$1,835	14%
Aetna	$3,162 - $12,074	24%
First Health Network	$3,162	24%
Blue Cross Blue Shield	$8,968 - $12,074	68%
UnitedHealthcare	$10,521 - $13,276	80%
Humana	$11,651 - $12,074	89%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$12,074	92%
Medicare (plans)	$12,074	92%
Vantage Health Plan - Commercial	$19,922	152%
Zelis	$20,587	157%
Healthcomp Ppo (Formerly Gilsbar 360	$30,185	230%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $20,338.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner LSU Health Shreveport is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.