CMS Price Transparency Data
Total hip replacement
Facility: Phelps Memorial Health Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,722
about 0.1× the $13,117 Medicare rate · typically $1,023–$4,306
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,722 Cash price $3,076 Hospital's list price $3,418
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,048 - $5,741 | 8% |
| Blue Cross Blue Shieldmajor | $1,048 - $1,865 | 8% |
| Aetnamajor | $1,094 - $5,741 | 8% |
| Ambetter (Centene) | $2,015 | 15% |
| Medica | $1,048 - $1,886 | 8% |
| Molina | $1,094 - $5,741 | 8% |
| WellCare | $1,048 | 8% |
| + 6 smaller / regional plans | $1,048 - $1,991 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Phelps Memorial Health Center
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.