CMS Price Transparency Data

Total hip replacement

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$12,785

about 1.0× the $13,117 Medicare rate · typically $3,441–$16,285

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,160

Below the fair price — a good deal

about $9,625 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $12,785 This hospital $3,160 Cash price $4,188 Hospital's list price $5,584

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

A typical price — 5 charge more and 3 charge less, among the 9 TX hospitals compared.

Cheapest $2,407 Priciest $4,169

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

A fair price for a Total hip replacement is about $12,785 (about 1.0× the $13,117 Medicare rate). UT of Texas Southwestern University Hospital - William P. Clements Jr. charges insurers about $3,160, or about $4,188 in cash — below the fair price — a good deal. Located in Dallas, TX.

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	$1,026 - $39,732	8%
Blue Cross Blue Shieldmajor	$1,026 - $49,090	8%
Aetnamajor	$1,180 - $5,553	9%
Cignamajor	$4,447	34%
Humanamajor	$1,317 - $13,381	10%
Ambetter (Centene)	$1,280	10%
Molina	$1,026 - $13,510	8%
+ 7 smaller / regional plans	$1,026 - $13,510

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 4,188), 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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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 UT of Texas Southwestern University Hospital - William P. Clements Jr.

Compare: Total hip replacement at other TX hospitals

University of Texas M. D. Anderson Cancer Center · Houston $2,407
University Medical Center of El Paso · El Paso $2,959
El Paso Children's Hospital · El Paso $2,959
Tops Surgical Specialty Hospital · Houston $3,228
Peterson Regional Medical Center · Kerrville $3,300
Medical City Mental Health and Wellness Center · Fort Worth $3,682
Medina Regional Hospital · Hondo $3,945
Texoma Medical Center · Denison $4,169

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