CMS Price Transparency Data

Total hip replacement

Facility: Methodist Fremont Health

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$10,896

about 0.8× the $13,117 Medicare rate · typically $3,682–$14,195

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,027

Above the fair price

about $3,131 over the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $10,896 This hospital $14,027 Cash price $7,652 Hospital's list price $20,682

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $2,427 Priciest $14,027

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

A fair price for a Total hip replacement is about $10,896 (about 0.8× the $13,117 Medicare rate). Methodist Fremont Health charges insurers about $14,027, or about $7,652 in cash — above the fair price. Located in Fremont, NE.

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 $10,896. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$14,027 - $18,634	107%
Blue Cross Blue Shieldmajor	$14,027 - $18,510	107%
Aetnamajor	$14,027 - $19,855	107%
Humanamajor	$14,027	107%
Ambetter (Centene)	$29,037	221%
Medica	$14,027 - $18,200	107%
+ 4 smaller / regional plans	$9,307 - $29,127

Government programs also on file: Medicare.

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 7,652), 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 Methodist Fremont Health 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 Methodist Fremont Health

Compare: Total hip replacement at other NE hospitals

Regional West Medical Center · Scottsbluff $2,427
The Nebraska Medical Center · Omaha $2,462
CHI Health St. Elizabeth · Lincoln $12,418
CHI Health Nebraska Heart · Lincoln $12,418
CHI Health Bergan Mercy · Omaha $12,539
CHI Health Immanuel · Omaha $12,539
CHI Health Midlands · Papillion $12,539
CHI Health Lakeside · Omaha $12,539

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