CMS Price Transparency Data
Total hip replacement
Facility: Great Falls Clinic Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$11,021
about 0.8× the $13,117 Medicare rate · typically $7,770–$23,301
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $11,021 Cash price $22,839 Hospital's list price $22,839
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
✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $13,052 - $29,368 | 100% |
| Humanamajor | $13,052 | 100% |
| + 2 smaller / regional plans | $24,800 - $28,715 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Great Falls Clinic Hospital
Compare: Total hip replacement at other MT hospitals
- St James Hospital · Butte $13,253
- St. Patrick Hospital · Missoula $13,510
- Intermountain Health St Vincent Regional Hospital · Billings $25,734
Insurance negotiated median for the same procedure, sorted lowest first.