CMS Price Transparency Data

Total hip replacement

Facility: SSM Health St. Mary's Hospital - Jefferson City

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$10,914
about 0.8× the $13,117 Medicare rate · typically $4,867–$13,894
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,065
Above the fair price
about $2,151 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $10,914 This hospital $13,065

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $2,346 Priciest $13,065

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

A fair price for a Total hip replacement is about $10,914 (about 0.8× the $13,117 Medicare rate). SSM Health St. Mary's Hospital - Jefferson City charges insurers about $13,065 — above the fair price. Located in Jefferson City, MO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $10,914. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $9,856 - $12,789 75%
Blue Cross Blue Shieldmajor $13,052 100%
Humanamajor $13,078 100%
Ambetter (Centene) $2,277 - $12,859 17%
+ 4 smaller / regional plans $13,502 - $23,147

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2505 Mission Drive, Jefferson City, MO 65109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals