CMS Price Transparency Data
Total hip replacement
Facility: Door County Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$7,958
about 0.6× the $13,117 Medicare rate · typically $2,158–$22,669
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $7,958 Cash price $10,007 Hospital's list price $13,343
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
✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,269 | 10% |
| Humanamajor | $300 | 2% |
Government programs also on file: Medicare.
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Other Procedures at Door County Medical Center
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.