CMS Price Transparency Data

Total hip replacement

Facility: St Marys Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,611

about 0.1× the $13,117 Medicare rate · typically $1,024–$4,882

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $1,611

How we calculate the fair BaseRate →

Insurer prices not shown for this procedure

This hospital’s published rates for this billing code don’t look like a per-visit price — they appear to be a full-stay total filed under an hourly code — so we’re not showing a per-insurer breakdown we can’t stand behind. The fair price above is your best reference; call the hospital’s billing office to confirm the actual charge.

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 St Marys Medical Center 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.

Other Procedures at St Marys Medical Center

Compare: Total hip replacement at other WV hospitals

Wheeling Hospital, Inc · Wheeling $12,358
Reynolds Memorial Hospital, Inc · Glen Dale $12,745
Princeton Community Hospital Assn Inc · Princeton $13,125
Raleigh General Hospital · Beckley $28,543
Logan Regional Medical Center · Logan $32,636

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