CMS Price Transparency Data

Total hip replacement

Facility: New London Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $2,529
Cash Discount Price: $2,447
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at New London Hospital is $2,529. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,447. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.19x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$2,447

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,529

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $2,447 (19%)

Insurance Median: $2,529 (19%)

Cash: $2,447 (19% of Medicare)

Ins. Median: $2,529 (19% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Martin'S Point Health Care	$871 - $3,679	7%
Granite State Health Plan	$959 - $2,702	7%
Wellsense Health Plan	$959 - $2,356	7%
Amerihealth Caritas Nh	$968 - $2,728	7%
Blue Cross Blue Shield	$1,301 - $28,070	10%
Harvard Pilgrim Health Care Of Ne	$1,499 - $3,818	11%
Cigna	$1,740 - $3,625	13%
UnitedHealthcare	$1,865 - $4,187	14%
Aetna	$2,020 - $4,626	15%
Ambetter / Centene	$2,356	18%
Martin'S Point Generations Advantage	$2,356	18%
Wellcare Health Plans	$2,356	18%
Tufts Health Plan	$3,701 - $3,854	28%
Coventry	$5,060	39%
Multiplan	$5,086	39%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,447.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm New London Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.