CMS Price Transparency Data

Total hip replacement

Facility: Minden Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $522
Cash Discount Price: $1,134
vs. Medicare Baseline: 0.04x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Minden Medical Center is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,134. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.04x the Medicare baseline. Located in No 1 Medical Plaza, Minden, LA.

Cash / Self-Pay

$1,134

Average discount available for prompt cash payment at this facility.

Insurance Median

$522

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: $1,134 (9%)

Insurance Median: $522 (4%)

Cash: $1,134 (9% of Medicare)

Ins. Median: $522 (4% 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
Mcd Amerihealth	$522	4%
Mcd La Hlth Conn	$522	4%
Medicaid / KanCare	$522	4%
Aetna	$982	7%
Mcd Healthy Blue	$982	7%
Mcd United Hc La	$991	8%
Humana	$1,080	8%
Managed Care	$1,757 - $10,355	13%
Commercial Insurance	$10,355 - $23,363	79%
Blue Cross Blue Shield	$23,363	178%

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 $1,134.
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 Minden Medical Center 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.