CMS Price Transparency Data

Total hip replacement

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$13,820

about 1.1× the $13,117 Medicare rate · typically $8,752–$15,784

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,636

About the fair price

about $184 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $13,820 This hospital $13,636

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 $13,636

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 $13,820 (about 1.1× the $13,117 Medicare rate). Baylor Scott & White Medical Center - Marble Falls charges insurers about $13,636 — about the fair price. Located in Marble Falls, 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	$12,234 - $13,346	93%
Blue Cross Blue Shieldmajor	$12,186 - $21,421	93%
Aetnamajor	$13,933	106%
Cignamajor	$5,388 - $6,339	41%
Humanamajor	$11,605 - $14,887	88%
Baylor Scott & White	$11,025 - $19,149	84%
Cigna HealthSpring	$12,186	93%
+ 2 smaller / regional plans	$12,186

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

Excludes 3 rental-network / third-party entries (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 Baylor Scott & White Medical Center - Marble Falls 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 Baylor Scott & White Medical Center - Marble Falls

Compare: Total hip replacement at other TX hospitals

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