CMS Price Transparency Data

Total hip replacement

Facility: Multicare Valley Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$14,746

about 1.1× the $13,117 Medicare rate · typically $12,685–$22,530

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,058

About the fair price

about $688 under the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $14,746 This hospital $14,058

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 WA hospitals compared.

Cheapest $3,007 Priciest $16,453

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

A fair price for a Total hip replacement is about $14,746 (about 1.1× the $13,117 Medicare rate). Multicare Valley Hospital charges insurers about $14,058 — about the fair price. Located in Spokane Valley, WA.

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✓ Kaiser Permanente Humana

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	$6,510 - $13,990	50%
Blue Cross Blue Shieldmajor	$6,386 - $34,825	49%
Aetnamajor	$13,856 - $48,094	106%
Cignamajor	$27,000	206%
Kaiser Permanentemajor	$59,968	457%
Ambetter (Centene)	$24,887	190%
Molina	$6,324 - $26,440	48%
WellCare	$14,125	108%
+ 2 smaller / regional plans	$6,386 - $22,681

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 Multicare Valley Hospital 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 Multicare Valley Hospital

Compare: Total hip replacement at other WA hospitals

Seattle Children's Hospital · Seattle $3,007
Virginia Mason Medical Center · Seattle $4,051
Trios Health · Kennewick $13,727
Deaconess Medical Center · Spokane $14,058
Providence St Lukes Rehabilitation Medical Center · Spokane $14,951
Highline Medical Center · Burien $15,324
Mary Bridge Children's Hospital · Tacoma $15,721
Kadlec Regional Medical Center · Richland $16,453

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