CMS Price Transparency Data

Total hip replacement

Facility: Akron General Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$5,445

about 0.4× the $13,117 Medicare rate · typically $3,114–$11,909

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,282

Below the fair price — a good deal

about $2,163 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $5,445 This hospital $3,282 Cash price $5,479 Hospital's list price $8,429

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 7 of 8 other OH hospitals charge more for the same procedure.

Cheapest $3,048 Priciest $11,888

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 $5,445 (about 0.4× the $13,117 Medicare rate). Akron General Medical Center charges insurers about $3,282, or about $5,479 in cash — below the fair price — a good deal. Located in Akron, OH.

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	$1,097 - $12,230	8%
Blue Cross Blue Shieldmajor	$1,219 - $32,392	9%
Aetnamajor	$1,219 - $11,889	9%
Cignamajor	$1,745 - $12,245	13%
Humanamajor	$1,219 - $11,889	9%
AmeriHealth	$1,270 - $7,185	10%
CareSource	$1,212 - $6,532	9%
Molina	$1,270 - $6,859	10%
Oscar Health	$2,250	17%
UniCare	$1,280	10%
UPMC Health Plan	$11,381	87%
+ 12 smaller / regional plans	$793 - $13,078

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 5,479), 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 Akron General 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 Akron General Medical Center

Compare: Total hip replacement at other OH hospitals

Henry County Hospital, Inc · Napoleon $3,048
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
Coshocton Regional Medical Center · Coshocton $11,888

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