CMS Price Transparency Data

Total hip replacement

Facility: The Children's Mercy Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,510

about 0.2× the $13,117 Medicare rate · typically $1,706–$6,092

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,346

About the fair price

about $164 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $2,510 This hospital $2,346 Cash price $1,829 Hospital's list price $3,810

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Lowest price of the 9 MO hospitals we have prices for — a strong deal.

Cheapest $2,346 Priciest $12,050

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 $2,510 (about 0.2× the $13,117 Medicare rate). The Children's Mercy Hospital charges insurers about $2,346, or about $1,829 in cash — about the fair price. Located in Kansas City, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$1,168 - $2,590	9%
Blue Cross Blue Shieldmajor	$1,918 - $2,484	15%
Aetnamajor	$2,418 - $3,057	18%
Cignamajor	$2,921	22%
Humanamajor	$2,525	19%
Health Net	$2,819	21%
HealthLink	$1,669	13%
Medica	$2,221	17%
+ 11 smaller / regional plans	$1,246 - $2,781

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,829), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm The Children's Mercy Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at The Children's Mercy Hospital

Compare: Total hip replacement at other MO hospitals

SSM Health Saint Louis University Hospital · Saint Louis $3,809
SSM St Joseph Health Center · Saint Charles $4,368
SSM St Clare Health Center · Fenton $4,368
SSM Health Depaul Hospital St Louis · Bridgeton $4,368
SSM St Joseph Hospital West · Lake Saint Louis $4,368
Lafayette Regional Health Center · Lexington $8,849
Liberty Hospital · Liberty $9,601
Saint Francis Medical Center · Cape Girardeau $12,050

Insurance negotiated median for the same procedure, sorted lowest first.