CMS Price Transparency Data

Total hip replacement

Facility: Novant Health Ballantyne Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$7,584

about 0.6× the $13,117 Medicare rate · typically $1,985–$14,316

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,632

Above the fair price

about $5,048 over the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $7,584 This hospital $12,632

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $7,554 Priciest $12,632

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $7,584 (about 0.6× the $13,117 Medicare rate). Novant Health Ballantyne Medical Center charges insurers about $12,632 — above the fair price. Located in Charlotte, NC.

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 $7,584. 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.

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	$12,476	95%
Blue Cross Blue Shieldmajor	$12,476	95%
Aetnamajor	$12,788	97%
Cignamajor	$12,850	98%
Humanamajor	$12,476	95%
+ 3 smaller / regional plans	$12,476 - $24,952

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, 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 Novant Health Ballantyne Medical Center 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 Novant Health Ballantyne Medical Center

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.