CMS Price Transparency Data

Total hip replacement

Facility: Christus Spohn Hospital Corpus Christi

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $12,514
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Christus Spohn Hospital Corpus Christi is $12,514. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.95x the Medicare baseline. Located in 600 Elizabeth Street, Corpus Christi, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,514

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Insurance Median: $12,514 (95%)

Ins. Median: $12,514 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$2,380 - $2,911	18%
Five Point Credit Union	$4,020	31%
Aetna	$4,302 - $12,514	33%
Healthcare Highways	$5,261	40%
Humana	$5,871 - $12,514	45%
Blue Cross Blue Shield	$9,283 - $14,519	71%
Allwell	$12,514	95%
Christus Health	$12,514 - $17,520	95%
Coventry	$12,514	95%
Molina	$12,514	95%
Superior	$12,514	95%
Texas Healthspring	$12,514	95%
Triwest	$12,514	95%
UnitedHealthcare	$12,514 - $20,149	95%
Wellcare	$12,514	95%
Provider Partners Health Plan	$12,889	98%
Texas Independence Health Plan	$12,889	98%
Shared Health Insurance Company	$13,140	100%
Us Imaging Network	$13,390	102%
Amerigroup	$13,515	103%
Devoted Health Plan	$13,515	103%
Imperial Health Plan	$13,765	105%
Medicare (plans)	$13,765	105%
Procare Advantage	$13,765	105%
Naphcare Inc.	$25,028	191%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christus Spohn Hospital Corpus Christi is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.