CMS Price Transparency Data

Total hip replacement

Facility: Mount Carmel St Ann's

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,407
about 1.1× the $13,117 Medicare rate · typically $10,095–$27,781
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,199
Well above the fair price
about $14,792 over the fair price · 2.2× Medicare
Medicare pays $13,117 Fair price $14,407 This hospital $29,199 Cash price $50,445

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $3,048 Priciest $29,199

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

A fair price for a Total hip replacement is about $14,407 (about 1.1× the $13,117 Medicare rate). Mount Carmel St Ann's charges insurers about $29,199, or about $50,445 in cash — well above the fair price. Located in Westerville, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $14,407. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $12,374 - $42,111 94%
Blue Cross Blue Shieldmajor $12,132 - $46,178 92%
Aetnamajor $7,584 - $12,738 58%
GEHA $42,111 321%
Medical Mutual $30,421 - $44,045 232%
Oscar Health $20,426 156%
+ 11 smaller / regional plans $632 - $46,178
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 500 South Cleveland Avenue, Westerville, OH 43081
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals