CMS Price Transparency Data
Total hip replacement
Facility: Avita Ontario
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$11,787
about 0.9× the $13,117 Medicare rate · typically $9,806–$11,787
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $11,787 Cash price $68,594 Hospital's list price $80,698
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 | $2,122 - $58,304 | 16% |
| Blue Cross Blue Shieldmajor | $2,122 - $57,538 | 16% |
| Aetnamajor | $13,117 - $80,698 | 100% |
| Cignamajor | $62,864 | 479% |
| Humanamajor | $2,122 - $13,117 | 16% |
| AmeriHealth | $2,638 | 20% |
| CareSource | $2,122 | 16% |
| Medical Mutual | $13,117 - $64,559 | 100% |
| Molina | $2,122 - $13,117 | 16% |
| + 2 smaller / regional plans | $2,122 - $13,117 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Avita Ontario
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.