CMS Price Transparency Data

Total hip replacement

Facility: Madison Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,972
about 0.2× the $13,117 Medicare rate · typically $1,125–$6,533
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,972

How we calculate the fair BaseRate →

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 $830 - $2,501 6%
Blue Cross Blue Shieldmajor $830 - $2,468 6%
Aetnamajor $1,427 11%
Humanamajor $1,220 9%
HealthPartners $803 - $2,737 6%
Medica $845 - $1,083 6%
+ 1 smaller / regional plan $888 - $2,626
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals