CMS Price Transparency Data

Total hip replacement

Facility: SSM Health St Anthony Hospital - Oklahoma City

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,026

about 1.1× the $13,117 Medicare rate · typically $6,928–$16,433

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,457

About the fair price

about $1,431 over the fair price · 1.3× Medicare

Medicare pays $13,117 Fair price $15,026 This hospital $16,457 Cash price $9,370 Hospital's list price $17,036

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $2,489 Priciest $16,457

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $15,026 (about 1.1× the $13,117 Medicare rate). SSM Health St Anthony Hospital - Oklahoma City charges insurers about $16,457, or about $9,370 in cash — about the fair price. Located in Oklahoma City, OK.

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✓ Humana AetnaCignaKaiser 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	$12,531 - $19,664	96%
Blue Cross Blue Shieldmajor	$12,348 - $12,718	94%
Humanamajor	$12,558	96%
Ambetter (Centene)	$16,670	127%
Medica	$1,949 - $11,491	15%
Oscar Health	$4,387 - $16,244	33%
+ 4 smaller / regional plans	$22,844 - $30,870

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,370), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm SSM Health St Anthony Hospital - Oklahoma City is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM Health St Anthony Hospital - Oklahoma City

Compare: Total hip replacement at other OK hospitals

Ascension St John Medical Center · Tulsa $2,489
St John Owasso · Owasso $2,489
Ascension St John Sapulpa · Sapulpa $2,489
Ascension St John Jane Phillips · Bartlesville $3,058
Ascension St John Nowata · Nowata $3,058
Mangum Regional Medical Center · Mangum $5,866
Harmon Memorial Hospital · Hollis $6,403
Integris Southwest Medical Center · Oklahoma City $8,970

Insurance negotiated median for the same procedure, sorted lowest first.