CMS Price Transparency Data

Total hip replacement

Facility: Ashtabula County Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$11,951

about 0.9× the $13,117 Medicare rate · typically $3,923–$13,903

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $11,951 Cash price $1,298 Hospital's list price $1,854

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$1,784 - $13,719	14%
Blue Cross Blue Shieldmajor	$1,219 - $13,450	9%
Aetnamajor	$1,785 - $13,450	14%
Cignamajor	$797 - $4,686	6%
CareSource	$1,219 - $13,450	9%
Medical Mutual	$1,057 - $33,295	8%
Molina	$17,081	130%
Oscar Health	$1,646	13%
+ 2 smaller / regional plans	$742 - $14,122

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 1,298), 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 Ashtabula County 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 Ashtabula County 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.