CMS Price Transparency Data
Total hip replacement
Facility: Lima Memorial Health System
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$13,067
about 1.0× the $13,117 Medicare rate · typically $11,975–$19,240
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $13,067 Cash price $15,473 Hospital's list price $17,192
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $50,727 - $56,364 | 387% |
| Aetnamajor | $12,259 - $14,711 | 93% |
| CareSource | $21,453 | 164% |
| Devoted Health | $12,382 | 94% |
| + 1 smaller / regional plan | $20,840 |
Self-Pay How to get the cash price
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Other Procedures at Lima Memorial Health System
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.