CMS Price Transparency Data

Total hip replacement

Facility: Upland Hills Health

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$4,345

about 0.3× the $13,117 Medicare rate · typically $1,359–$17,269

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,326

Below the fair price — a good deal

about $1,019 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $4,345 This hospital $3,326 Cash price $3,733 Hospital's list price $6,913

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

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 $4,345 (about 0.3× the $13,117 Medicare rate). Upland Hills Health charges insurers about $3,326, or about $3,733 in cash — below the fair price — a good deal. Located in Dodgeville, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$855 - $2,394	7%
Blue Cross Blue Shieldmajor	$855 - $2,504	7%
Cignamajor	$2,278 - $2,547	17%
Humanamajor	$855 - $3,326	7%
Dean Health Plan	$2,198 - $8,012	17%
Quartz	$2,107	16%
Security Health Plan	$855	7%
+ 5 smaller / regional plans	$855 - $12,605

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 3,733), 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 Upland Hills Health 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 Upland Hills Health

Compare: Total hip replacement at other WI hospitals

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