CMS Price Transparency Data

Total hip replacement

Facility: Froedtert Community Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$14,127

about 1.1× the $13,117 Medicare rate · typically $7,643–$23,247

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,494

Below the fair price — a good deal

about $1,633 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $14,127 This hospital $12,494

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 $12,494

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 $14,127 (about 1.1× the $13,117 Medicare rate). Froedtert Community Hospital charges insurers about $12,494 — below the fair price — a good deal. Located in New Berlin, WI.

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	$10,636 - $12,498	81%
Blue Cross Blue Shieldmajor	$12,494	95%
Humanamajor	$12,494	95%
HealthPartners	$12,494	95%
Molina	$12,494	95%
Security Health Plan	$12,494	95%
+ 4 smaller / regional plans	$9,276 - $12,494

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 Froedtert Community 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 Froedtert Community Hospital

Compare: Total hip replacement at other WI hospitals

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