CMS Price Transparency Data
Total hip replacement
Facility: Fort Memorial Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$14,877
about 1.1× the $13,117 Medicare rate · typically $6,629–$14,877
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $14,877 Cash price $2,933 Hospital's list price $9,167
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 | $1,592 - $12,400 | 12% |
| Blue Cross Blue Shieldmajor | $3,901 - $14,650 | 30% |
| Aetnamajor | $3,658 - $6,802 | 28% |
| Cignamajor | $8,617 | 66% |
| Humanamajor | $8,014 - $12,400 | 61% |
| Dean Health Plan | $3,901 - $13,459 | 30% |
| Molina | $1,214 - $12,400 | 9% |
| Quartz | $3,901 - $12,400 | 30% |
| + 8 smaller / regional plans | $4,117 - $30,462 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Fort Memorial Hospital
Compare: Total hip replacement at other WI hospitals
- Thedacare Medical Center - New London · New London $2,456
- Thedacare Medical Center - Berlin Inc · Berlin $3,271
- Upland Hills Health · Dodgeville $3,326
- Thedacare Medical Center - Shawano · Shawano $3,427
- Unitypoint Health - Meriter · Madison $3,835
- Ascension Ne Wisconsin - St Elizabeth Campus · Appleton $4,830
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $5,281
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $5,281
Insurance negotiated median for the same procedure, sorted lowest first.