CMS Price Transparency Data

Total hip replacement

Facility: Bethesda North

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15,610
about 1.2× the $13,117 Medicare rate · typically $12,643–$21,475
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,973
Above the fair price
about $3,363 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $15,610 This hospital $18,973

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $3,048 Priciest $18,973

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 $15,610 (about 1.2× the $13,117 Medicare rate). Bethesda North charges insurers about $18,973 — above the fair price. Located in Cincinnati, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $15,610. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna CignaHumanaKaiser 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 $15,644 119%
Blue Cross Blue Shieldmajor $15,640 - $36,771 119%
Aetnamajor $3,426 - $19,178 26%
Medical Mutual $12,762 97%
Oscar Health $18,767 143%
+ 3 smaller / regional plans $12,887 - $36,033
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10500 Montgomery Road, Cincinnati, OH 45242
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals