CMS Price Transparency Data
Total hip replacement
Facility: Southern Ohio Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,826
about 0.3× the $13,117 Medicare rate · typically $1,242–$9,286
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,826 Cash price $2,050 Hospital's list price $4,100
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 | $1,435 - $3,608 | 11% |
| Blue Cross Blue Shieldmajor | $1,301 - $11,889 | 10% |
| Aetnamajor | $2,171 - $12,146 | 17% |
| Cignamajor | $2,330 - $3,403 | 18% |
| Humanamajor | $1,301 - $11,889 | 10% |
| Ambetter (Centene) | $1,219 | 9% |
| CareSource | $1,463 - $16,050 | 11% |
| Medical Mutual | $1,219 - $3,362 | 9% |
| Molina | $1,219 - $14,266 | 9% |
| WellCare | $1,219 - $1,314 | 9% |
| + 6 smaller / regional plans | $1,219 - $16,644 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Southern Ohio Medical Center
Compare: Total hip replacement at other OH hospitals
- Henry County Hospital, Inc · Napoleon $3,048
- Akron General Medical Center · Akron $3,282
- Cleveland Clinic · Cleveland $3,902
- Nationwide Children's Hospital · Columbus $4,017
- Adena Pike Medical Center · Waverly $6,905
- Berger Hospital · Circleville $7,835
- Lodi Community Hospital · Lodi $10,169
- Uh St John Medical Center · Westlake $10,993
Insurance negotiated median for the same procedure, sorted lowest first.