CMS Price Transparency Data

Total hip replacement

Facility: Northwest Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13,750
about 1.0× the $13,117 Medicare rate · typically $3,226–$16,133
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,864
About the fair price
about $114 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $13,750 This hospital $13,864 Cash price $23,704 Hospital's list price $98,768

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $2,669 Priciest $13,864

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

A fair price for a Total hip replacement is about $13,750 (about 1.0× the $13,117 Medicare rate). Northwest Medical Center charges insurers about $13,864, or about $23,704 in cash — about the fair price. Located in Tucson, AZ.

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 $13,461 - $49,384 103%
Blue Cross Blue Shieldmajor $13,700 - $21,667 104%
Aetnamajor $8,668 - $59,261 66%
Cignamajor $12,748 - $13,461 97%
Humanamajor $13,461 103%
Ambetter (Centene) $19,317 147%
Banner Health $14,134 108%
Clover Health $13,837 105%
Devoted Health $13,864 106%
Health Net $21,714 166%
WellCare $14,134 108%
+ 12 smaller / regional plans $9,281 - $31,510
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals