CMS Price Transparency Data

Total hip replacement

Facility: Texoma Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$11,986
about 0.9× the $13,117 Medicare rate · typically $3,968–$13,636
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,169
Below the fair price — a good deal
about $7,817 under the fair price · 0.3× Medicare
Medicare pays $13,117 Fair price $11,986 This hospital $4,169

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 $4,169

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 $11,986 (about 0.9× the $13,117 Medicare rate). Texoma Medical Center charges insurers about $4,169 — below the fair price — a good deal. Located in Denison, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $1,631 - $12,085 12%
Blue Cross Blue Shieldmajor $15,590 - $19,279 119%
Cignamajor $23,160 177%
Humanamajor $6,146 47%
Amerigroup $1,631 12%
Molina $1,013 8%
+ 2 smaller / regional plans $1,064 - $23,160
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: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals