CMS Price Transparency Data
Total hip replacement
Facility: Mon Health Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$5,301
about 0.4× the $13,117 Medicare rate · typically $923–$12,494
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $5,301 Cash price $1,369 Hospital's list price $2,738
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $2,464 - $12,419 | 19% |
| Blue Cross Blue Shieldmajor | $12,419 - $61,133 | 95% |
| Aetnamajor | $2,190 - $12,419 | 17% |
| Cignamajor | $2,464 | 19% |
| Humanamajor | $2,464 - $12,419 | 19% |
| GEHA | $2,656 | 20% |
| Paramount | $12,419 | 95% |
| UPMC Health Plan | $2,656 | 20% |
| + 10 smaller / regional plans | $1,916 - $24,837 |
Government programs also on file: Medicare.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mon Health 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.