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Total hip replacement

CPT 27130 · negotiated-rate distribution across hospitals in SD

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Hospitals
2
Min
$5,478.00
Median
$36,747
Max
$36,747
Range multiplier
6.7×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE19$13,431$13,431$13,4311.0×
Blue Cross Blue Shield28$5,478.00$19,591$28,8315.3×
UnitedHealthcare26$5,478.00$36,747$36,7476.7×
medica (commercial) 94265 [3081118]13$49,499$49,499$49,4991.0×
Humana23$5,478.00$13,431$53,6739.8×
healthpartners [3081368]13$13,431$13,431$13,4311.0×
govt employees health assn [3081090]13$36,747$36,747$36,7471.0×
Cigna13$56,705$56,705$56,7051.0×
Aetna13$53,673$53,673$53,6731.0×
Meritain Health12$56,705$56,705$56,7051.0×
Medicare22$5,478.00$9,454.50$13,4312.5×
national telephone cooperative assn 52103 [3081149]12$36,747$36,747$36,7471.0×
risk admin svs [3081167]12$31,626$31,626$31,6261.0×
key benefit administrators [3081332]11$56,705$56,705$56,7051.0×
employee benefit management 12x44 [3081079]11$50,691$50,691$50,6911.0×
allied benefit systems inc [3081320]11$56,705$56,705$56,7051.0×
coresource 38225 [3081146]11$38,764$38,764$38,7641.0×
midlands choice 47080 [3081136]11$56,705$56,705$56,7051.0×
minnesota health care programs 12k16 [3081295]11$18,070$18,070$18,0701.0×
Multiplan11$50,533$50,533$50,5331.0×
va black hills health care system 12115 [3081206]11$13,431$13,431$13,4311.0×
pacificsource health plans [3081333]11$50,691$50,691$50,6911.0×
preferred one 41147 [3081160]11$56,705$56,705$56,7051.0×
va ccn optum [3081339]11$13,431$13,431$13,4311.0×
rocky mountain admin llc 83028 [3081168]11$47,710$47,710$47,7101.0×
sanford health plan 91184 [3081174]11$53,673$53,673$53,6731.0×
surest [3081369]11$36,747$36,747$36,7471.0×
tlc advantage llc [3081189]11$56,059$56,059$56,0591.0×
avera health plans 46045 [3081018]11$43,760$43,760$43,7601.0×
health partners sx009 [3081102]11$34,443$34,443$34,4431.0×
group and pension administrators inc [3081098]11$50,533$50,533$50,5331.0×
fedmed inc [3081283]11$56,655$56,655$56,6551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD4$59,511$59,511$5,478.00$5,478.00$28,831
Monument Health Rapid City HospitalRapid CitySD32$59,637$59,637$13,431$36,747$56,705

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.