CMS Price Transparency Data

Total hip replacement

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,317
about 1.1× the $13,117 Medicare rate · typically $11,837–$15,661
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,316
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $14,317 This hospital $14,316

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 $14,316

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 $14,317 (about 1.1× the $13,117 Medicare rate). Texas Health Presbyterian Hospital Plano charges insurers about $14,316 — about the fair price. Located in Plano, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $14,316 - $24,806 109%
Blue Cross Blue Shieldmajor $12,897 - $99,442 98%
Humanamajor $13,413 102%
Amerigroup $13,542 103%
Cigna HealthSpring $13,155 100%
Molina $13,542 103%
WellCare $13,542 - $14,187 103%
+ 2 smaller / regional plans $12,897 - $14,351

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Facility Profile & Credentials

  • Address: 6200 W Parker Rd, Plano, TX 75093
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals