CMS Price Transparency Data
Total hip replacement
Facility: Cincinnati Children's Hospital Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,323
about 0.2× the $13,117 Medicare rate · typically $1,024–$6,793
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $2,323 Cash price $5,215 Hospital's list price $10,225
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 | $1,029 - $8,186 | 8% |
| Blue Cross Blue Shieldmajor | $866 - $8,645 | 7% |
| Aetnamajor | $976 - $10,225 | 7% |
| Cignamajor | $6,953 - $8,180 | 53% |
| Humanamajor | $1,024 - $1,366 | 8% |
| AmeriHealth | $1,060 - $1,247 | 8% |
| CareSource | $909 - $5,112 | 7% |
| Medical Mutual | $5,475 - $9,305 | 42% |
| Molina | $1,079 - $1,270 | 8% |
| WellCare | $1,024 - $1,366 | 8% |
| + 13 smaller / regional plans | $1,128 - $9,714 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cincinnati Children's Hospital Medical 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.