CMS Price Transparency Data

Total hip replacement

Facility: The Hospital at Westlake Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27130
Insurance Median: $11,772
Cash Discount Price: $12,250
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Total hip replacement at The Hospital at Westlake Medical Center is $11,772. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,250. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.90x the Medicare baseline. Located in 5656 Bee Caves Road, Suite M-302, Austin, TX.

Cash / Self-Pay

$12,250

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,772

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $12,250 (93%)

Insurance Median: $11,772 (90%)

Cash: $12,250 (93% of Medicare)

Ins. Median: $11,772 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$1,061 - $11,772	8%
Multiplan	$1,965	15%
Aetna	$2,115 - $11,772	16%
Tx_Free_Market	$7,735	59%
Medicaid / KanCare	$11,240	86%
Superior_Mcd	$11,240	86%
Ambetter / Centene	$11,772	90%
Edhp	$11,772	90%
Humana	$11,772 - $46,123	90%
Mcr_United	$11,772	90%
Medicare (plans)	$11,772	90%
Sendero	$11,772	90%
Tricare	$11,772	90%
Triwest	$11,772	90%
Wellcare	$11,772	90%
Cigna	$15,786	120%
90_Degree_Benefits	$17,659	135%
Scott_And_White	$35,479	270%
Beech_Street	$49,671	379%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $12,250.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Hospital at Westlake Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.