CMS Price Transparency Data

Total hip replacement

Facility: Gadsden Regional Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11,522
about 0.9× the $13,117 Medicare rate · typically $9,536–$12,390
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,546
About the fair price
about $24 over the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $11,522 This hospital $11,546 Cash price $25,932 Hospital's list price $216,097

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 3 charge more and 5 charge less, among the 9 AL hospitals compared.

Cheapest $11,065 Priciest $11,701

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $11,522 (about 0.9× the $13,117 Medicare rate). Gadsden Regional Medical Center charges insurers about $11,546, or about $25,932 in cash — about the fair price. Located in Gadsden, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $6,139 - $15,350 47%
Blue Cross Blue Shieldmajor $11,320 86%
Aetnamajor $11,658 - $111,938 89%
Cignamajor $11,546 - $68,047 88%
Humanamajor $11,320 86%
Ambetter (Centene) $17,273 132%
Clover Health $11,630 89%
Devoted Health $11,546 88%
SelectHealth $11,433 87%
WellCare $11,746 90%
+ 12 smaller / regional plans $3,900 - $165,314
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals