CMS Price Transparency Data

Total hip replacement

Facility: Titus Regional Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $1,530
Cash Discount Price: $2,813
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at Titus Regional Medical Center is $1,530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,813. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.12x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$2,813

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,530

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%)

Cash / Self-Pay: $2,813 (21%)

Insurance Median: $1,530 (12%)

Cash: $2,813 (21% of Medicare)

Ins. Median: $1,530 (12% 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
Christus Health Plan	$904	7%
Humana	$904 - $3,282	7%
Tricare	$904	7%
Triwest	$904 - $1,172	7%
UnitedHealthcare	$904 - $3,680	7%
Texas Mutual	$931	7%
Curative	$994	8%
Superior	$1,078	8%
Aetna	$1,156 - $1,926	9%
Blue Cross Blue Shield	$1,269 - $4,108	10%
Claritev	$1,408	11%
Healthcare Highways	$1,679	13%
Healthsmart	$3,282	25%
Cigna	$3,750	29%
Galaxy Health	$4,454	34%

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 $2,813.
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 Titus Regional Medical Center 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.