CMS Price Transparency Data
Total hip replacement
Facility: University Medical Center
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $2,125
- Cash Discount Price: $1,775
- vs. Medicare Baseline: 0.16x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at University Medical Center is $2,125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,775. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.16x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$1,775
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,125
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$13,116.76
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $1,775 (14%)
Insurance Median: $2,125 (16%)
Cash: $1,775 (14% of Medicare)
Ins. Median: $2,125 (16% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $1,107 - $14,220 | 8% |
| Aetna | $1,107 - $24,885 | 8% |
| Caesar's Entertainment | $1,239 - $3,010 | 9% |
| Molina | $1,239 - $21,046 | 9% |
| Arroweye Solutions | $1,239 - $3,141 | 9% |
| Las Vegas Sand Corps | $1,239 - $3,163 | 9% |
| Allwell | $1,239 - $14,220 | 9% |
| Golden Entertainment | $1,239 - $3,141 | 9% |
| Dignity Health | $1,239 - $3,141 | 9% |
| Clark County Self Funded | $1,239 - $3,010 | 9% |
| UnitedHealthcare | $1,239 - $14,220 | 9% |
| P3 Health Partners Nevada | $1,239 - $14,220 | 9% |
| VA Pc3 (VA Choice) | $1,239 - $14,220 | 9% |
| Sierra Health and Life | $1,239 - $16,353 | 9% |
| Clark County EPO | $1,239 - $3,010 | 9% |
| Stations Casinos | $1,239 - $3,141 | 9% |
| Truline Corporation | $1,239 - $3,141 | 9% |
| Teacher's Health Trust | $1,239 - $3,141 | 9% |
| State of Nevada | $1,239 - $3,141 | 9% |
| Las Vegas Metro Police Dept | $1,239 - $3,010 | 9% |
| Marshall Retail Group | $1,239 - $3,141 | 9% |
| Blue Cross Blue Shield | $1,239 - $14,220 | 9% |
| Selecthealth | $1,239 - $21,046 | 9% |
| Wynn Resorts | $1,239 - $3,010 | 9% |
| Pli Las Vegas | $1,239 - $3,141 | 9% |
| Healthcare Partners of Nevada | $1,239 - $14,220 | 9% |
| Operating Engineers | $1,239 - $3,010 | 9% |
| Resorts World Las Vegas | $1,239 - $3,010 | 9% |
| Mgm Grand | $1,239 - $3,010 | 9% |
| Rebel Oil Company | $1,239 - $3,141 | 9% |
| City of North Las Vegas | $1,239 - $3,010 | 9% |
| P3 Health Partners | $1,239 - $3,141 | 9% |
| City of Henderson | $1,239 - $3,010 | 9% |
| Mirage Las Vegas | $1,239 - $3,010 | 9% |
| Venetian/Palazzo | $1,239 - $3,141 | 9% |
| Golden Nugget Hotel & Casino | $1,239 - $3,141 | 9% |
| Ambetter / Centene | $1,295 - $22,041 | 10% |
| Alignment Health | $1,301 - $14,220 | 10% |
| Scan | $1,301 - $14,220 | 10% |
| Employee Painters Trust | $1,375 - $3,010 | 10% |
| Clark County Firefighters 1908 | $1,375 - $3,010 | 10% |
| Mail Handlers Benefit Plan | $1,375 - $5,226 | 10% |
| Coventry | $1,375 - $5,226 | 10% |
| Geha | $1,375 - $1,859 | 10% |
| Nevada Energy | $1,375 - $5,226 | 10% |
| Three Rivers Provider Network | $1,388 - $6,700 | 11% |
| First Health | $1,388 - $6,700 | 11% |
| Health Net | $1,388 - $6,700 | 11% |
| Sheet Metal Workers | $1,456 | 11% |
| Southwest Carpenters H&W | $1,456 | 11% |
| Teamsters Local 986 | $1,456 - $3,010 | 11% |
| Teamsters Local 14 | $1,456 - $3,010 | 11% |
| Bricklayers Local 13 | $1,456 - $3,010 | 11% |
| Ufcw Local 711 Retail Clerks | $1,456 - $3,010 | 11% |
| California Ironwork Field Welfare | $1,456 | 11% |
| Laborers Health and Welfare | $1,456 - $3,010 | 11% |
| Plumbers & Pipefitters Loc 525 | $1,456 - $3,010 | 11% |
| Electrical Workers | $1,456 - $3,010 | 11% |
| Teamsters Local 631 | $1,456 - $3,010 | 11% |
| So Ca Pipe Trades H&W | $1,456 | 11% |
| Boyd Group | $1,456 - $3,010 | 11% |
| Culinary Workers Hwf | $1,524 - $3,010 | 12% |
| Laughlin Coalition | $1,727 - $2,739 | 13% |
| Universal Health Network (Uhn) | $1,859 - $28,440 | 14% |
| Hometown Health Plan Nevada | $1,859 | 14% |
| Jw Marriott | $1,859 - $4,214 | 14% |
| Prominence Health Plan | $1,859 - $28,440 | 14% |
| Nevada Preferred Professionals | $1,859 - $28,440 | 14% |
| One Health Plan | $1,859 - $3,704 | 14% |
| Aig | $1,934 - $4,308 | 15% |
| Cement Masons & Plasters H&W | $1,934 - $3,010 | 15% |
| Beech Street | $1,934 - $4,308 | 15% |
| Health Direct Partners | $2,045 - $22,894 | 16% |
| Zuffa | $2,656 - $4,214 | 20% |
| National Security Technologies | $2,804 - $28,265 | 21% |
| Kaiser | $2,804 - $28,265 | 21% |
| Great West Healthcare | $2,804 - $28,265 | 21% |
| Cirque De Soleil | $2,804 - $28,265 | 21% |
| Cigna | $2,804 - $28,265 | 21% |
| Switch | $3,010 | 23% |
| Las Vegas Firefighters 1285 | $3,010 | 23% |
| Nevada Hand | $3,010 | 23% |
| Surest | $3,163 | 24% |
| American Postal Workers Health Plan | $3,163 | 24% |
| Hometown Health Plan of Nevada | $3,704 | 28% |