CMS Price Transparency Data

Total hip replacement

Facility: Astria Toppenish Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9,077
about 0.7× the $13,117 Medicare rate · typically $3,932–$13,411
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $9,077 Cash price $4,544 Hospital's list price $6,991

How we calculate the fair BaseRate →

What each insurance company pays

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

6 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 $5,775 - $8,400 44%
Blue Cross Blue Shieldmajor $2,636 20%
Aetnamajor $6,152 - $13,424 47%
Cignamajor $13,424 102%
Humanamajor $6,991 - $13,424 53%
Kaiser Permanentemajor $50,029 381%
Ambetter (Centene) $8,400 64%
Molina $8,568 - $10,920 65%
+ 6 smaller / regional plans $4,404 - $13,558
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals