CMS Price Transparency Data
Total hip replacement
Facility: Southwest General Health Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$11,922
about 0.9× the $13,117 Medicare rate · typically $4,034–$13,838
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $11,922 Hospital's list price $4,500
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✓ Humana AetnaCignaKaiser 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 - $6,386 | 9% |
| Blue Cross Blue Shieldmajor | $1,564 - $6,386 | 12% |
| Humanamajor | $1,154 - $6,386 | 9% |
| AmeriHealth | $1,200 - $6,386 | 9% |
| CareSource | $1,154 - $6,386 | 9% |
| Medical Mutual | $1,564 - $5,481 | 12% |
| Molina | $1,154 - $16,103 | 9% |
| + 2 smaller / regional plans | $1,154 - $16,103 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Southwest General Health 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.