CMS Price Transparency Data
Total hip replacement
Facility: Prosser Memorial Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,445
about 0.1× the $13,117 Medicare rate · typically $1,280–$4,981
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,445 Cash price $2,377 Hospital's list price $4,322
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 | $731 - $1,447 | 6% |
| Blue Cross Blue Shieldmajor | $1,722 - $1,958 | 13% |
| Aetnamajor | $1,626 - $1,707 | 12% |
| Cignamajor | $1,617 | 12% |
| Humanamajor | $1,447 | 11% |
| Kaiser Permanentemajor | $731 - $3,008 | 6% |
| Ambetter (Centene) | $2,604 | 20% |
| Amerigroup | $775 | 6% |
| Molina | $767 - $1,447 | 6% |
| WellCare | $1,447 | 11% |
| + 5 smaller / regional plans | $731 - $1,958 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Prosser Memorial 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
- Multicare Valley Hospital · Spokane Valley $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
Insurance negotiated median for the same procedure, sorted lowest first.