CMS Price Transparency Data

Total hip replacement

Facility: Christ Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,154
Cash Discount Price: $2,058
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Christ Hospital is $1,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,058. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$2,058

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,154

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $2,058 (16%)

Insurance Median: $1,154 (9%)

Cash: $2,058 (16% of Medicare)

Ins. Median: $1,154 (9% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$1,154 - $25,215	9%
Ambetter / Centene	$1,154 - $11,889	9%
Amerihealth Caritas [2230]	$1,154 - $25,215	9%
Blue Cross Blue Shield	$1,154 - $39,472	9%
Buckeye Community Health [2028]	$1,154 - $25,215	9%
Caresource [2031]	$1,154 - $25,215	9%
Center Of Excellence [2180]	$1,154	9%
Cigna	$1,154 - $11,889	9%
Custom Design Benefits - True Cost [3004]	$1,154 - $11,889	9%
First Health [2041]	$1,154 - $11,889	9%
Golden Rule [2161]	$1,154 - $23,320	9%
Humana	$1,154 - $25,215	9%
Kentucky Passport/Molina [2097]	$1,154	9%
Medicaid / KanCare	$1,154 - $25,215	9%
Medical Mutual [2054]	$1,154 - $35,027	9%
Medicare (plans)	$1,154 - $11,889	9%
Medigold Ppo [2204]	$1,154 - $11,889	9%
Meritain Health [2224]	$1,154 - $11,889	9%
Other Exchange Plan [9992]	$1,154 - $11,889	9%
Other Workers Compensation [9999]	$1,154	9%
Tricare	$1,154	9%
United Medical Resources [2104]	$1,154 - $23,320	9%
UnitedHealthcare	$1,154 - $25,215	9%
Wc Sheakley Unicomp [2129]	$1,154	9%
Allied Benefits [2163]	$11,889	91%
Buckeye Mycare Dual [2171]	$11,889	91%
Medben [2222]	$11,889	91%
Meridian [2185]	$11,889	91%
Perennial [4200]	$11,889	91%
Poppins Health [2299]	$11,889	91%
Geha [2168]	$23,320	178%
Life Synch [2080]	$25,215	192%
Western And Southern [2076]	$35,027	267%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,058.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christ Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.