CMS Price Transparency Data
Total hip replacement
Facility: Duke University Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,622
about 0.3× the $13,117 Medicare rate · typically $1,089–$8,591
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,622 Cash price $3,391 Hospital's list price $6,782
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 | $536 - $4,227 | 4% |
| Blue Cross Blue Shieldmajor | $536 - $3,343 | 4% |
| Aetnamajor | $582 - $2,830 | 4% |
| Cignamajor | $924 - $3,301 | 7% |
| Humanamajor | $602 - $4,130 | 5% |
| AmeriHealth | $536 - $1,073 | 4% |
| Sentara | $2,733 | 21% |
| + 8 smaller / regional plans | $536 - $1,109 |
Self-Pay How to get the cash price
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Other Procedures at Duke University Hospital
Compare: Total hip replacement at other NC hospitals
- Frye Regional Medical Center · Hickory $7,554
- Columbus Regional Healthcare System · Whiteville $12,131
- Sentara Albemarle Medical Center · Elizabeth City $12,394
- Wakemed, Raleigh Campus · Raleigh $12,438
- North Carolina Baptist Hospital · Winston-Salem $12,455
- Person Memorial Hospital · Roxboro $12,531
- Novant Health Forsyth Medical Center · Winston-Salem $12,607
- Novant Health Thomasville Medical Center · Thomasville $12,607
Insurance negotiated median for the same procedure, sorted lowest first.