CMS Price Transparency Data

Total hip replacement

Facility: Wheeling Hospital, Inc

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$9,205

about 0.7× the $13,117 Medicare rate · typically $3,610–$12,854

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,358

Above the fair price

about $3,153 over the fair price · 0.9× Medicare

Medicare pays $13,117 Fair price $9,205 This hospital $12,358 Cash price $15,517 Hospital's list price $31,034

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Lowest price of the 5 WV hospitals we have prices for — a strong deal.

Cheapest $12,358 Priciest $32,636

Black dot = this hospital, among the 5 WV hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $9,205 (about 0.7× the $13,117 Medicare rate). Wheeling Hospital, Inc charges insurers about $12,358, or about $15,517 in cash — above the fair price. Located in Wheeling, WV.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $9,205. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna✓ Humana CignaKaiser 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	$13,470	103%
Blue Cross Blue Shieldmajor	$982 - $50,708	7%
Aetnamajor	$1,000 - $12,976	8%
Humanamajor	$12,976	99%
Geisinger	$776	6%
+ 4 smaller / regional plans	$776 - $12,976

Government programs also on file: Medicare, Medicaid.

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 15,517), 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 Wheeling Hospital, Inc 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 Wheeling Hospital, Inc

Compare: Total hip replacement at other WV hospitals

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.