CMS Price Transparency Data
Total hip replacement
Facility: Mercy Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7,301
about 0.6× the $13,117 Medicare rate · typically $1,915–$12,020
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $7,301 Cash price $5,479 Hospital's list price $8,429
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 | $1,154 - $11,889 | 9% |
| Blue Cross Blue Shieldmajor | $1,219 - $11,889 | 9% |
| Aetnamajor | $1,219 - $11,889 | 9% |
| Cignamajor | $1,219 - $12,245 | 9% |
| Humanamajor | $1,219 - $11,889 | 9% |
| AmeriHealth | $1,270 - $7,012 | 10% |
| CareSource | $1,189 - $6,565 | 9% |
| Molina | $1,270 - $6,693 | 10% |
| Oscar Health | $2,250 | 17% |
| UniCare | $1,280 - $12,483 | 10% |
| + 11 smaller / regional plans | $793 - $19,917 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy 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.