Total hip replacement
Facility: Liberty Hospital
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $11,681
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.89x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $213 - $57,352 | 2% |
| Humana | $7,165 - $11,914 | 55% |
| Aetna | $7,521 - $11,681 | 57% |
| Cigna | $11,681 | 89% |
| UnitedHealthcare | $11,681 - $19,273 | 89% |
| Medicare (plans) | $11,797 - $12,849 | 90% |
| Healthy Blue | $12,534 | 96% |
| Ambetter / Centene | $14,834 | 113% |
| Home State Health | $17,141 | 131% |
Consumer Guidance & Cost Commentary
Liberty Hospital, located at 2525 Glenn Hendren Dr in Liberty, Missouri, offers a Total hip replacement service with a median negotiated rate of $11,681. This facility is a voluntary non-profit acute care hospital rated 2 stars by the state of Missouri. While the data does not provide a specific cash median or gross charge for this procedure, the median negotiated rate is available for comparison against commercial payers. For patients considering payment options, it is important to note that cash-pay rates can sometimes be lower than insurance negotiated rates, particularly for those with high-deductible plans, and hospitals often offer "self-pay" or "prompt-pay" discounts that should be verified directly with the facility before scheduling.
When evaluating costs, it is essential to compare rates against the Medicare benchmark rather than the hospital's listed chargemaster, which often inflates the perceived savings. For this procedure, the Medicare amount is $13,116.76, and the facility's negotiated rate of $11,681 represents 90% of the Medicare amount. Although the data does not include specific county or state average figures for this procedure, understanding that commercial negotiated rates can vary significantly by payer is critical; for instance, Blue Cross Blue Shield plans range from $213 to $57,352, while UnitedHealthcare plans range from $11,681 to $19,273. Patients should request an itemized billing audit to ensure no errors exist and should check their deductible status to determine if their insurance will cover the full negotiated amount or if they might face balance billing, though the No Surprises Act protects against such billing in many