CMS Price Transparency Data

Total hip replacement

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14,086
about 1.1× the $13,117 Medicare rate · typically $3,741–$16,009
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,843
About the fair price
about $1,243 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $14,086 This hospital $12,843

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 $12,843

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 $14,086 (about 1.1× the $13,117 Medicare rate). Christus Santa Rosa Hospital-San Marcos charges insurers about $12,843 — about the fair price. Located in San Marcos, 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 $6,364 - $12,469 49%
Blue Cross Blue Shieldmajor $14,281 - $29,871 109%
Aetnamajor $12,719 97%
Cignamajor $7,347 - $12,843 56%
Humanamajor $12,469 - $14,777 95%
Amerigroup $13,467 103%
Devoted Health $13,467 103%
Healthcare Highways $31,547 241%
WellCare $12,469 95%
+ 7 smaller / regional plans $4,020 - $21,322
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1301 Wonder World Drive, San Marcos, TX 78666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals