CMS Price Transparency Data

Total hip replacement

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15,428
about 1.2× the $13,117 Medicare rate · typically $8,018–$20,137
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,826
Below the fair price — a good deal
about $2,602 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $15,428 This hospital $12,826

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $2,456 Priciest $12,826

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

A fair price for a Total hip replacement is about $15,428 (about 1.2× the $13,117 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $12,826 — below the fair price — a good deal. Located in Fond Du Lac, WI.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $6,779 - $12,699 52%
Molina $9,524 73%
WellCare $12,953 99%
+ 4 smaller / regional plans $11,502 - $27,583

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Facility Profile & Credentials

  • Address: 430 E Division St, Fond Du Lac, WI 54935
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals