CMS Price Transparency Data
Total hip replacement
Facility: Oakleaf Surgical Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$11,117
about 0.8× the $13,117 Medicare rate · typically $6,796–$14,345
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $11,117 Cash price $7,383 Hospital's list price $8,203
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $12,717 | 97% |
| Blue Cross Blue Shieldmajor | $12,717 - $24,978 | 97% |
| Humanamajor | $12,717 | 97% |
| Dean Health Plan | $12,717 | 97% |
| HealthPartners | $12,717 | 97% |
| Medica | $12,717 | 97% |
| Quartz | $12,717 | 97% |
| Security Health Plan | $12,717 - $26,175 | 97% |
| UCare | $12,717 | 97% |
| + 2 smaller / regional plans | $12,717 - $19,075 |
Self-Pay How to get the cash price
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Other Procedures at Oakleaf Surgical 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.