CMS Price Transparency Data

Total hip replacement

Facility: Thedacare Medical Center - Shawano

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9,518
about 0.7× the $13,117 Medicare rate · typically $3,329–$20,702
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,427
Below the fair price — a good deal
about $6,091 under the fair price · 0.3× Medicare
Medicare pays $13,117 Fair price $9,518 This hospital $3,427 Cash price $4,165 Hospital's list price $7,437

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $2,456 Priciest $5,297

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 $9,518 (about 0.7× the $13,117 Medicare rate). Thedacare Medical Center - Shawano charges insurers about $3,427, or about $4,165 in cash — below the fair price — a good deal. Located in Shawano, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $1,875 - $2,522 14%
Humanamajor $5,854 45%
+ 1 smaller / regional plan $4,333
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 County Rd B, Shawano, WI 54166
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals