CMS Price Transparency Data

Total hip replacement

Facility: Uva Health Culpeper Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,086

about 1.2× the $13,117 Medicare rate · typically $11,294–$21,974

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,283

Below the fair price — a good deal

about $1,803 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $15,086 This hospital $13,283 Cash price $27,664 Hospital's list price $55,327

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $12,527 Priciest $13,283

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $15,086 (about 1.2× the $13,117 Medicare rate). Uva Health Culpeper Medical Center charges insurers about $13,283, or about $27,664 in cash — below the fair price — a good deal. Located in Culpeper, VA.

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	$6,859 - $37,130	52%
Blue Cross Blue Shieldmajor	$13,283 - $37,130	101%
Aetnamajor	$13,416	102%
Cignamajor	$2,430 - $13,283	19%
Humanamajor	$13,548	103%
GEHA	$7,621	58%

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

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 (about 27,664), 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 Uva Health Culpeper Medical Center 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 Uva Health Culpeper Medical Center

Compare: Total hip replacement at other VA hospitals

Bon Secours Maryview Medical Center · Portsmouth $12,527
Mary Immaculate Hospital · Newport News $12,527
Bon Secours St Francis Medical Center · Midlothian $12,527
Bon Secours Harbour View Medical Center · Suffolk $12,527
Medical College of Virginia Hospitals · Richmond $12,777
Sentara Northern Virginia Medical Center · Woodbridge $12,840
Bon Secours St Marys Hospital · Richmond $12,881
Bon Secours Memorial Regional Medical Center · Mechanicsville $12,881

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