Total hip replacement
Facility: Dunes Surgical Hospital
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $13,430 compared to the $11,423 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
On the higher side — 5 of 6 other SD hospitals charge less.
Black dot = this hospital, among the 7 SD hospitals with a price for this procedure. Full list below.
A fair price for a Total hip replacement is about $11,423 (about 0.9× the $13,117 Medicare rate). Dunes Surgical Hospital charges insurers about $13,430 — above the fair price. Located in Dakota Dunes, SD.
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 $11,423. 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.
3 of 6 major insurers have a published price at this hospital
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 | $11,500 - $13,430 | 88% |
| Blue Cross Blue Shieldmajor | $13,699 - $14,672 | 104% |
| Cignamajor | $10,062 | 77% |
| Amerigroup | $13,887 | 106% |
| HealthPartners | $13,944 | 106% |
| Molina | $13,833 | 105% |
| Oscar Health | $15,982 | 122% |
| Sanford Health Plan | $12,219 | 93% |
| + 5 smaller / regional plans | $10,781 - $13,699 |
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.
Other Procedures at Dunes Surgical Hospital
Compare: Total hip replacement at other SD hospitals
- Huron Regional Medical Center · Huron $2,656
- Black Hills Surgical Hospital LLC · Rapid City $3,057
- Sanford Usd Medical Center · Sioux Falls $13,253
- Sanford Medical Center Aberdeen · Aberdeen $13,253
- Sioux Falls Specialty Hospital · Sioux Falls $13,254
- Monument Health Rapid City Hospital · Rapid City $13,431
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Dunes Surgical Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,218
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $5,218).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Dunes Surgical Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $11,423 Fair BaseRate ($13,117 Medicare)
Your bill ($14,375) is $2,952 above the denoised Fair BaseRate ($11,423) and 1.1× the $13,117 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.