CMS Price Transparency Data

Total hip replacement

Facility: St James Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11,348
about 0.9× the $13,117 Medicare rate · typically $8,225–$13,244
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,253
Above the fair price
about $1,905 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $11,348 This hospital $13,253

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Lowest price of the 3 MT hospitals we have prices for — a strong deal.

Cheapest $13,253 Priciest $25,734

Black dot = this hospital, among the 3 MT hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $11,348 (about 0.9× the $13,117 Medicare rate). St James Hospital charges insurers about $13,253 — above the fair price. Located in Butte, MT.

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 $11,348. 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.

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $13,124 100%
Humanamajor $13,253 101%
+ 2 smaller / regional plans $27,020 - $36,670

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: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals