Total hip replacement
Facility: Ohio Valley Surgical Hospital
Billing Code: 27130 (CPT)
- CPT Billing Code: 27130
- Insurance Median: $12,263
- Cash Discount Price: $31,423
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $1,508 - $12,263 | 11% |
| Geha | $1,508 | 11% |
| Genworth | $1,508 | 11% |
| Meritain | $1,508 | 11% |
| Pacific Source | $1,508 | 11% |
| Mhbp | $1,508 | 11% |
| Mail Handlers | $1,508 | 11% |
| Nippon Life | $1,508 | 11% |
| Meritain Heatlh | $1,508 | 11% |
| Ngs Coresource | $1,508 | 11% |
| Personify Health | $1,508 | 11% |
| UnitedHealthcare | $6,136 - $12,263 | 47% |
| Mmoh | $12,263 - $32,994 | 93% |
| Bankers Life and Casualty | $12,263 | 93% |
| Cigna | $12,263 - $19,665 | 93% |
| American Continental Insurance | $12,263 | 93% |
| Champus | $12,263 | 93% |
| Medicare (plans) | $12,263 - $31,423 | 93% |
| Communicare Advantage | $12,263 | 93% |
| Molina McR McD | $12,263 | 93% |
| Gateway Health Plan | $12,263 | 93% |
| Medigold | $12,263 | 93% |
| Wraparound Pl Supp | $12,263 | 93% |
| Molina Dual McR | $12,263 | 93% |
| American Retirement | $12,263 | 93% |
| Aarp Supplemental | $12,263 | 93% |
| Molina Dual McR | $12,263 | 93% |
| Central States | $12,263 | 93% |
| Everest | $12,263 | 93% |
| Patient No Pay | $12,263 | 93% |
| Bankers Fidelity | $12,263 | 93% |
| Aarp | $12,263 | 93% |
| Molina | $12,263 | 93% |
| Molina McR | $12,263 | 93% |
| Wellcare By Allwell | $12,263 | 93% |
| Aultcare Primetime Health Plan | $12,263 | 93% |
| Molina Marketplace | $12,263 | 93% |
| American Continental Life | $12,263 | 93% |
| American Republic | $12,263 | 93% |
| Self Pay Imaging | $12,263 | 93% |
| Blue Cross Blue Shield | $12,263 - $51,586 | 93% |
| Prosperity Supplement | $12,263 | 93% |
| Molina McR+McD | $12,263 | 93% |
| The Health Plan | $12,876 | 98% |
| Humana | $13,000 | 99% |
| Employer Direct | $13,414 | 102% |
| Devoted Health | $14,683 | 112% |
| Caresourse | $18,395 | 140% |
| Medicaid / KanCare | $18,395 | 140% |
| Caresource | $18,395 | 140% |
| Samba | $19,665 | 150% |
| Healthgram | $19,665 | 150% |
| Sbma | $19,665 | 150% |
| Unified Group | $19,665 | 150% |
| Nalc | $19,665 | 150% |
| Mmoh (Supermed) | $24,353 | 186% |
| Mmo Cin. HMO | $32,994 | 252% |
| Luminare Health | $47,135 | 359% |
| Preferred Health | $47,135 | 359% |
| Medben | $47,135 | 359% |
| Ohio Health | $47,135 | 359% |