CMS Price Transparency Data

Total hip replacement

Facility: Grandview Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,089
about 0.9× the $13,117 Medicare rate · typically $10,395–$13,593
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,701
About the fair price
about $388 under the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $12,089 This hospital $11,701 Cash price $35,267 Hospital's list price $235,113

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $11,065 Priciest $11,701

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total hip replacement is about $12,089 (about 0.9× the $13,117 Medicare rate). Grandview Medical Center charges insurers about $11,701, or about $35,267 in cash — about the fair price. Located in Birmingham, 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 $8,547 - $105,801 65%
Blue Cross Blue Shieldmajor $16,074 123%
Aetnamajor $2,600 - $11,889 20%
Cignamajor $11,774 - $20,508 90%
Humanamajor $11,543 88%
Ambetter (Centene) $17,615 134%
Cigna HealthSpring $20,551 157%
Clover Health $11,861 90%
Devoted Health $11,774 90%
SelectHealth $11,659 89%
WellCare $11,978 91%
+ 19 smaller / regional plans $1,838 - $211,602
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals