CMS Price Transparency Data

Total hip replacement

Facility: Christus Mother Frances Hospital Sulphur Springs

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$13,827

about 1.1× the $13,117 Medicare rate · typically $8,835–$15,784

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,650

About the fair price

about $177 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $13,827 This hospital $13,650

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $2,407 Priciest $13,650

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 $13,827 (about 1.1× the $13,117 Medicare rate). Christus Mother Frances Hospital Sulphur Springs charges insurers about $13,650 — about the fair price. Located in Sulphur Springs, 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	$13,253	101%
Blue Cross Blue Shieldmajor	$13,253 - $26,777	101%
Aetnamajor	$13,385	102%
Cignamajor	$13,253	101%
Humanamajor	$13,253	101%
Amerigroup	$14,313	109%
WellCare	$13,253	101%
+ 8 smaller / regional plans	$13,253 - $18,554

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (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, 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 Christus Mother Frances Hospital Sulphur Springs 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 Christus Mother Frances Hospital Sulphur Springs

Compare: Total hip replacement at other TX hospitals

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