27130
Total hip replacement arthroplasty procedure
Total hip replacement arthroplasty procedure is the #2,018 most-billed Medicaid procedure code, with $10.0M in payments across 3K claims from 2018–2024. The national median cost per claim is $2,763.80. Costs vary widely — the 90th percentile is $7,221.84 per claim, 2.6× the median.
Total Paid
$10.0M
0.00% of all spending
Total Claims
3K
Providers
32
Avg Cost/Claim
$4K
National Cost Distribution
How much do providers bill per claim for 27130? Based on 32 providers billing this code nationally.
Median
$2,763.80
Average
$3,390.91
Std Dev
$2,676.49
Max
$9,084.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $725.41 and $5,107.94 per claim for this code.
90% bill between $599.91 and $7,221.84.
Top 1% bill above $8,830.58.
About This Procedure
HCPCS code 27130 (Total hip replacement arthroplasty procedure) was billed by 32 providers across 3K claims, totaling $10.0M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,763.80
Providers Billing
32
National Spending
$10.0M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 27130
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902881295 | $3.0M |
| 2 | State Of Connecticut Farmington, CT · Counselor, Professional | $1.6M |
| 3 | 1427360700 | $1.4M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $737K |
| 5 | 1073827101 | $621K |
| 6 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $400K |
| 7 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $362K |
| 8 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $290K |
| 9 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $184K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $175K |
| 11 | 1427007848 | $146K |
| 12 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $141K |
| 13 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $134K |
| 14 | University Of Washington Seattle, WA · Clinic/Center, Dental | $109K |
| 15 | 1780633289 | $106K |
| 16 | 1891301065 | $99K |
| 17 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $84K |
| 18 | Mainehealth Portland, ME · Emergency Medicine | $80K |
| 19 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $78K |
| 20 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $75K |
Showing top 20 of 32 providers billing this code