CMS Price Transparency Data

Total hip replacement

Facility: Starr Regional Medical Center Athens

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$11,695

about 0.9× the $13,117 Medicare rate · typically $3,731–$22,064

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,449

Below the fair price — a good deal

about $8,246 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $11,695 This hospital $3,449 Cash price $15,828 Hospital's list price $80,756

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Lowest price of the 9 TN hospitals we have prices for — a strong deal.

Cheapest $3,449 Priciest $10,713

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total hip replacement is about $11,695 (about 0.9× the $13,117 Medicare rate). Starr Regional Medical Center Athens charges insurers about $3,449, or about $15,828 in cash — below the fair price — a good deal. Located in Athens, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$5,052	39%
Blue Cross Blue Shieldmajor	$1,845	14%

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 15,828), 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 Starr Regional Medical Center Athens 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 Starr Regional Medical Center Athens

Compare: Total hip replacement at other TN hospitals

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