CMS Price Transparency Data

Total hip replacement

Facility: Wayne Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$6,157
about 0.5× the $13,117 Medicare rate · typically $2,026–$17,467
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,362
Well above the fair price
about $7,205 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $6,157 This hospital $13,362 Cash price $33,686 Hospital's list price $44,914

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 $13,362

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 $6,157 (about 0.5× the $13,117 Medicare rate). Wayne Hospital charges insurers about $13,362, or about $33,686 in cash — well above the fair price. Located in Greenville, 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 $6,157. 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Ambetter (Centene) $13,362 102%

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.

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Facility Profile & Credentials

  • Address: 835 Sweitzer St, Greenville, OH 45331
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals