CMS Price Transparency Data

Total hip replacement

Facility: Moberly Regional Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $21,147
Cash Discount Price: $59,136
vs. Medicare Baseline: 1.61x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Moberly Regional Medical Center is $21,147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59,136. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.61x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.

Cash / Self-Pay

$59,136

Average discount available for prompt cash payment at this facility.

Insurance Median

$21,147

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: $59,136 (451%)

Insurance Median: $21,147 (161%)

Cash: $59,136 (451% of Medicare)

Ins. Median: $21,147 (161% 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
Veterans Eval Services	$1,186	9%
Healthlink	$3,060 - $3,400	23%
Medicaid / KanCare	$10,969 - $18,098	84%
Medicare (plans)	$13,532	103%
Node Va	$13,772	105%
UnitedHealthcare	$13,772 - $167,553	105%
Blue Cross Blue Shield	$13,802 - $77,972	105%
Node Devoted Health Mcr Adv	$14,208	108%
Centurion Correctional	$17,216	131%
Corizon	$17,216	131%
Us Department Of Labor	$17,216	131%
Home State Health Plan	$18,098 - $25,479	138%
Pathway/Pathway X	$19,155	146%
Healthscope Benefits	$23,138	176%
Naphcare	$26,168	200%
Blue Preferred	$26,507	202%
United Behavioral Health Mcd	$43,805	334%
Self Pay	$59,136	451%
Blue Access	$62,960	480%
Cigna	$68,335	521%
Access Health Services, Llc	$142,365	1085%
Aetna	$144,117 - $175,219	1099%
Blue Traditional	$156,580	1194%
Multiplan Primary	$164,268	1252%
Coventry Wc	$175,219	1336%
Multiplan	$177,409	1353%

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 $59,136.
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 Moberly Regional 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.