Total hip replacement
Facility: Lewisgale Hospital Pulaski
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $30,552 compared to the $19,734 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.55× fair market pricing.
Highest price of the 9 VA hospitals we have prices for — worth calling around.
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 $19,734 (about 1.5× the $13,117 Medicare rate). Lewisgale Hospital Pulaski charges insurers about $30,552 — above the fair price. Located in Pulaski, VA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,734. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $38,651 | 295% |
| Blue Cross Blue Shieldmajor | $27,506 - $30,561 | 210% |
| Aetnamajor | $31,244 | 238% |
| Humanamajor | $14,000 | 107% |
| Devoted Health | $15,658 | 119% |
| Sentara | $30,552 | 233% |
| + 3 smaller / regional plans | $1,995 - $12,000 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Lewisgale Hospital Pulaski
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
- University of Virginia Medical Center · Charlottesville $12,881
- Bon Secours St Marys Hospital · Richmond $12,881
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Lewisgale Hospital Pulaski (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $26,617
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $26,617).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Lewisgale Hospital Pulaski's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,734 Fair BaseRate ($13,117 Medicare)
Your bill ($73,325) is $53,591 above the denoised Fair BaseRate ($19,734) and 5.6× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.