Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 27134 · TOMAH, WI

27134 — Revise Hip Joint Replacement

What each payer pays TOMAH MEMORIAL HOSPITAL (CCN 521320) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$1,529 All-payer median here
$5,578 Cash / self-pay here
19 payer/plan-name variants
← This hospital National rates for 27134 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Cigna Healthcare $9,410 515.3% 2
Humana $8,974 486.8% 1
QUARTZ COMM - ALL OTHER PLANS $8,731 470.9% 1
SECURITY HP COMM - ALL OTHER PLANS $8,246 439.2% 1
THE ALLIANCE - ALL PLANS $6,499 325.0% 1
Aetna $5,002 227.1% 2
BCBS COMM - ALL OTHER PLANS $4,194 174.3% 1
UnitedHealthcare $1,917 25.3% 2
VA / CHAMPVA $1,529 0.0% 1
BCBS MCR ADV $1,529 0.0% 1
GROUP HLTH MCR ADV - ALL PLANS $1,529 0.0% 1
INDEPENDENT CARE MCR - ALL OTHER PLANS $1,529 0.0% 1
QUARTZ MCR ADV $1,529 0.0% 1
SECURITY HP MCR ADV $1,529 0.0% 1
INDEPENDENT CARE MCAID $1,525 -0.3% 1
QUARTZ MCAID $1,525 -0.3% 1
BCBS MCAID $339 -77.8% 1
MANAGED HLTH MCAID - ALL PLANS $339 -77.8% 1
SECURITY HP MCAID $305 -80.1% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.