CMS Price Transparency Data
Total hip replacement
Facility: North Texas Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$9,803
about 0.7× the $13,117 Medicare rate · typically $2,289–$13,317
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $9,803 Cash price $905 Hospital's list price $3,620
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 | $3,330 - $12,540 | 25% |
| Blue Cross Blue Shieldmajor | $1,810 - $12,540 | 14% |
| Aetnamajor | $2,244 - $12,540 | 17% |
| Cignamajor | $1,448 | 11% |
| Humanamajor | $12,540 | 96% |
| Healthcare Highways | $2,172 | 17% |
| Molina | $12,540 - $13,794 | 96% |
| WellMed | $12,540 | 96% |
| + 5 smaller / regional plans | $3,077 - $13,794 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at North Texas Medical Center
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
- UT of Texas Southwestern University Hospital - William P. Clements Jr. · Dallas $3,160
- 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
Insurance negotiated median for the same procedure, sorted lowest first.