CMS Price Transparency Data

Total hip replacement

Facility: Thedacare Medical Center - Berlin Inc

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$7,913
about 0.6× the $13,117 Medicare rate · typically $2,082–$22,388
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,271
Below the fair price — a good deal
about $4,642 under the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $7,913 This hospital $3,271 Cash price $4,165 Hospital's list price $7,437

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 7 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 $7,913 (about 0.6× the $13,117 Medicare rate). Thedacare Medical Center - Berlin Inc charges insurers about $3,271, or about $4,165 in cash — below the fair price — a good deal. Located in 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 $1,746 - $2,238 13%
Blue Cross Blue Shieldmajor $1,737 - $3,751 13%
Humanamajor $6,344 48%
Quartz $4,204 32%
+ 1 smaller / regional plan $4,333
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 225 Memorial Drive, Berlin, WI 54923
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals