CMS Price Transparency Data

Total hip replacement

Facility: Christus St Vincent Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,005

about 1.1× the $13,117 Medicare rate · typically $9,995–$17,452

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,578

About the fair price

about $1,427 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $15,005 This hospital $13,578

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 6 of 8 other NM hospitals charge more for the same procedure.

Cheapest $12,648 Priciest $66,130

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

A fair price for a Total hip replacement is about $15,005 (about 1.1× the $13,117 Medicare rate). Christus St Vincent Regional Medical Center charges insurers about $13,578 — about the fair price. Located in Santa Fe, NM.

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	$11,901 - $13,578	91%
Blue Cross Blue Shieldmajor	$11,901 - $74,736	91%
Aetnamajor	$13,578	104%
Cignamajor	$13,985	107%
Humanamajor	$13,578	104%
Ambetter (Centene)	$27,156	207%
Amerigroup	$15,615	119%
Devoted Health	$14,257	109%
Molina	$13,091 - $14,257	100%
Presbyterian	$11,901 - $72,237	91%
+ 4 smaller / regional plans	$13,578

Government programs also on file: Military & VA.

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 Christus St Vincent Regional 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 Christus St Vincent Regional Medical Center

Compare: Total hip replacement at other NM hospitals

UNM Hospital · Albuquerque $12,648
Covenant Health Hobbs Hospital · Hobbs $13,372
Eastern New Mexico Medical Center · Roswell $14,430
Mountain View Regional Medical Center · Las Cruces $14,430
Carlsbad Medical Center · Carlsbad $14,715
Presbyterian Hospital · Albuquerque $22,242
Dr Dan C Trigg Memorial Hospital · Tucumcari $66,130
Lincoln County Medical Center · Ruidoso $66,130

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