CMS Price Transparency Data
Total hip replacement
Facility: Nationwide Children's Hospital Toledo, LLC
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,690
about 0.3× the $13,117 Medicare rate · typically $3,083–$10,400
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,690 Cash price $3,548 Hospital's list price $5,914
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 | $2,006 - $8,911 | 15% |
| Blue Cross Blue Shieldmajor | $1,186 - $8,997 | 9% |
| Aetnamajor | $2,263 | 17% |
| Cignamajor | $4,300 | 33% |
| Humanamajor | $8,997 | 69% |
| AmeriHealth | $8,997 | 69% |
| CareSource | $1,129 - $13,773 | 9% |
| Molina | $8,911 - $15,440 | 68% |
| Paramount | $1,129 | 9% |
| + 5 smaller / regional plans | $854 - $39,350 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Nationwide Children's Hospital Toledo, LLC
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.