CMS Price Transparency Data

Total hip replacement

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $4,724
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at University of Texas M. D. Anderson Cancer Center is $4,724. 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 0.36x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,724

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: $4,724 (36%)
Ins. Median: $4,724 (36% 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.

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
Texaschildrens $944 - $1,078 7%
Tricare $1,124 - $1,322 9%
Vacare $1,124 - $1,322 9%
UnitedHealthcare $1,485 - $9,120 11%
Medicare (plans) $1,587 12%
Blue Cross Blue Shield $2,277 - $2,537 17%
Aetna $2,543 - $5,116 19%
Cigna $2,936 - $11,075 22%
Humana $7,817 - $10,814 60%
Ontarioministriesofhealth $9,641 74%
Beijingst.Lucia $9,772 75%
Embassyofqatar $9,772 75%
Memorialhermannhealth $9,772 75%
Emergingtherapysolutions_Cancercare $10,423 79%
Interlink_Cancercare $10,423 79%
Saudiarmedforces $10,423 79%
Uae_Medical $10,423 79%
Uaepoliceattache $10,423 79%
Healthsmart $11,075 84%
Vantage $11,075 84%
Multiplan $13,551 103%
Phcs $13,551 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL