CMS Price Transparency Data

Total hip replacement

Facility: Our Lady of the Lake Surgical Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $11,774
Cash Discount Price: $14,128
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Our Lady of the Lake Surgical Hospital is $11,774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,128. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.90x the Medicare baseline. Located in 1700 W Lindberg Drive, Slidell, LA.

Cash / Self-Pay

$14,128

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,774

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: $14,128 (108%)

Insurance Median: $11,774 (90%)

Cash: $14,128 (108% of Medicare)

Ins. Median: $11,774 (90% 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
Blue Cross Blue Shield	$9,878 - $12,173	75%
Triwest	$11,185	85%
Aetna	$11,774 - $23,547	90%
Healthy Blue	$11,774	90%
Humana	$11,774 - $17,778	90%
Lhc (Allwell)	$11,774	90%
Peoples Health	$11,774	90%
UnitedHealthcare	$11,774 - $17,072	90%
Vantage Health Plan Inc.	$11,774 - $20,015	90%
Wellcare Health Plan Inc	$11,774	90%
Cigna	$12,584	96%
Gilsbar 360	$27,079	206%
Hs Technology	$30,612	233%

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 $14,128.
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 Our Lady of the Lake Surgical Hospital 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.