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Total hip replacement

CPT 27130 · negotiated-rate distribution across hospitals in OH

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Hospitals
21
Min
$1,266.00
Median
$11,928
Max
$18,131
Range multiplier
14.3×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1644$34.00$22,689$36,2151065.1×
Aetna1741$34.68$11,928$21,232612.2×
UnitedHealthcare1735$34.68$11,928$36,0741040.2×
Cigna1318$87.00$11,928$30,014345.0×
Humana1416$34.34$11,928$12,549365.4×
Molina1315$34.00$11,928$20,230595.0×
summacare1213$34.00$11,928$11,928350.8×
the health plan1213$34.00$11,928$11,928350.8×
medical mutual of ohio1212$11,928$11,928$12,2611.0×
CareSource1112$34.68$21,471$21,471619.1×
devoted health1111$11,928$11,928$11,9281.0×
paramount1111$12,286$12,286$12,2861.0×
perennial advantage of ohio1111$12,524$12,524$12,5241.0×
primetime health plan1111$11,928$11,928$11,9281.0×
WellCare1111$11,928$11,928$11,9281.0×
valor health plans1111$12,524$12,524$12,5241.0×
Ambetter1010$21,471$21,471$21,4711.0×
Medicare18$1,145.30$12,549$20,07817.5×
Medicaid17$829.21$7,038.15$7,249.308.7×
healthsmart14$7,882.20$10,308$10,3081.3×
medical mutual13$34.00$8,367.26$8,852.32260.4×
aultcare13$34.00$4,729.32$5,820.71171.2×
Blue Cross Blue Shield12$2,277.79$11,106$19,9358.8×
TRICARE11$12,607$12,607$12,6071.0×
u of m health plan11$1,317.10$1,317.10$1,317.101.0×
ohio health choice11$70.00$70.00$70.001.0×
First Health11$9,458.64$9,458.64$9,458.641.0×
gateway health11$12,506$12,506$12,5061.0×
care source11$12,506$12,506$12,5061.0×
mclaren commercial ins11$1,897.84$1,897.84$1,897.841.0×
buckeye community health plan11$12,261$12,261$12,2611.0×
medigold11$12,261$12,261$12,2611.0×
mi amish medical board11$12,549$12,549$12,5491.0×
buckeye11$34.68$34.68$34.681.0×
care source just4me11$22,069$22,069$22,0691.0×
ohio preferred network11$85.00$85.00$85.001.0×
priority health11$1,872.02$1,872.02$1,872.021.0×
sidecar health11$33,717$33,717$33,7171.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes HospitalMaumeeOH11$55,231$27,615$829.21$7,038.15$20,078
Uh Geneva Medical CenterGenevaOH3$6,599.21$18,131$25,178
Uh Conneaut Medical CenterConneautOH3$6,599.21$17,084$25,363
Twin City HospitalDennisonOH16$34.00$1,266.00$20,211
Adena Regional Medical CenterChillicotheOH12$12,261$12,506$33,717
Lake Hospital SystemConcordOH17$4,776.00$12,107$36,074
Uh Ahuja Medical CenterBeachwoodOH17$5,938.98$11,928$26,485
Rainbow Babies & Childrens HospitalClevelandOH15$11,928$11,928$12,524
Uh Regional HospitalsRichmond HeightsOH17$5,938.98$11,928$25,240
Uh Portage Medical CenterRavennaOH17$4,159.66$11,928$21,471
Uh Cleveland Medical CenterClevelandOH17$11,928$11,928$36,215
Uh Elyria Medical CenterElyriaOH17$3,181.67$11,928$26,260
Uh Geauga Medical CenterChardonOH17$5,938.98$11,928$25,240
University Hospitals Rehab HospitalBeachwoodOH17$11,928$11,928$36,215
University Hospitals Avon Rehab HospAvonOH17$11,928$11,928$36,215
Uh Parma Medical CenterParmaOH17$3,342.35$11,928$25,058
Uh St. John Medical CenterWestlakeOH4$4,455.78$10,993$34,299
Harrison Community HospitalCadizOH0$2,822.00$1,411.00
Barnesville HospitalBarnesvilleOH0$2,822.00$1,411.00
Wayne Hospital CompanyGreenvilleOH0$48,078$36,058
Henry County Hospital (Cah)NapoleonOH0$3,048.00$2,286.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.