CMS Price Transparency Data
Total hip replacement
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $25,431
- Cash Discount Price: $50,861
- vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $25,431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50,861. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.94x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$50,861
Average discount available for prompt cash payment at this facility.
Insurance Median
$25,431
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$13,116.76
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $13,116.76 (100%)
Cash / Self-Pay: $50,861 (388%)
Insurance Median: $25,431 (194%)
Cash: $50,861 (388% of Medicare)
Ins. Median: $25,431 (194% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $130 - $46,793 | 1% |
| Alternate Medi-Cal [2001] | $130 | 1% |
| Blue Cross Blue Shield | $130 - $54,228 | 1% |
| Brand New Day [1089] | $130 - $2,136 | 1% |
| Caremore [2028] | $130 | 1% |
| Community Eldercare [1027] | $130 | 1% |
| Medi-Cal [1048] | $130 | 1% |
| Vantage [1092] | $130 - $55,485 | 1% |
| Ximed [2016] | $130 | 1% |
| Alternate Molina [1240] | $164 | 1% |
| Molina [1055] | $164 - $16,349 | 1% |
| Community Health Group [1022] | $168 | 1% |
| Health Net [1039] | $176 - $60,109 | 1% |
| Champva [1020] | $1,367 | 10% |
| Mid County Physicians Med Grp [1054] | $1,367 | 10% |
| Alameda Alliance For Health [2027] | $2,136 | 16% |
| Alignment Health Plan [2020] | $2,136 | 16% |
| California Department Of Public Health [1237] | $2,136 | 16% |
| California Health & Wellness Medi-Cal [1122] | $2,136 | 16% |
| Cms - County Medical Services [1025] | $2,136 - $60,109 | 16% |
| Community Care Ipa [1131] | $2,136 | 16% |
| Federal Prison [1031] | $2,136 | 16% |
| Gold Coast Health Plan [2031] | $2,136 | 16% |
| Health Plan Of San Joaquin [2032] | $2,136 | 16% |
| Hemet Community Med Grp - Promisecare [1040] | $2,136 | 16% |
| Imperial Health Holdings [1132] | $2,136 | 16% |
| Kern Health Systems [2033] | $2,136 | 16% |
| La Care Health Plan [2025] | $2,136 | 16% |
| Medicaid / KanCare | $2,136 | 16% |
| Regal Mg 'Heritage Provider Network' [2019] | $2,136 | 16% |
| San Diego County [1071] | $2,136 - $46,238 | 16% |
| Sd Physicians Med Grp [1076] | $2,136 - $60,109 | 16% |
| State Of California [1082] | $2,136 | 16% |
| UnitedHealthcare | $2,136 - $64,733 | 16% |
| Unlisted Mcal Hmo Non-Contract [1049] | $2,136 | 16% |
| Inland Empire Health Plan Transplant [1126] | $2,991 | 23% |
| Inland Empire Health Plan [1121] | $2,991 | 23% |
| Cal Optima [1016] | $3,097 | 24% |
| Blue Shield [1014] | $9,258 - $39,228 | 71% |
| Cigna | $11,097 - $55,485 | 85% |
| Humana | $11,097 - $78,604 | 85% |
| Mc Blue Shield Generic Payor [164016] | $11,097 | 85% |
| Mc Blue Shield Hmo [164015] | $11,097 | 85% |
| Mc Brand New Day Generic Payor [164031] | $11,097 | 85% |
| Mc Brand New Day Hmo [164030] | $11,097 | 85% |
| Mc Healthnet Generic Payor [164010] | $11,097 | 85% |
| Mc Healthnet Hmo [164004] | $11,097 | 85% |
| Mc Hnet Blue&Gold Aco [164017] | $11,097 | 85% |
| Mc Scan Generic Payor [164034] | $11,097 | 85% |
| Mc Scan Hmo [164035] | $11,097 | 85% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $11,097 | 85% |
| Alternate Blue Shield [2002] | $11,865 | 90% |
| Blue Shield Transplants [1113] | $11,865 | 90% |
| Alternate Scan Health [2088] | $16,349 | 125% |
| Scan Health [1072] | $16,349 | 125% |
| Ucr Prompt Pay Payor [8240] | $18,772 | 143% |
| Alternate Healthnet [1007] | $32,089 - $44,851 | 245% |
| Multicultural Med Grp [1057] | $33,569 | 256% |
| Elizabeth Hospice [2018] | $36,990 | 282% |
| Scripps Clinic [1073] | $36,990 - $55,485 | 282% |
| Blue Shield Promise [1017] | $41,614 | 317% |
| Alternate Health Net Bh [2059] | $44,851 | 342% |
| Healthnet Transplants [1114] | $44,851 | 342% |
| Usoc - Us Olympic Committee [1123] | $45,683 | 348% |
| Global Excel [1036] | $46,238 | 353% |
| Sharp Health Plan [1079] | $46,238 - $46,700 | 353% |
| Graybill Med Grp [1037] | $46,700 | 356% |
| Sharp Community Med Grp [1078] | $46,700 | 356% |
| Sharp Rees Stealy [1080] | $46,700 | 356% |
| Olympus Managed Healthcare Inc [1102] | $46,793 | 357% |
| Scripps Health Plan Services [1075] | $55,485 | 423% |
| Alternate Sheriff Custody [1106] | $60,109 | 458% |
| Arch Health Partners [2000] | $60,109 | 458% |
| Axa Assistance [1098] | $60,109 | 458% |
| Cassidy Med Grp [1019] | $60,109 | 458% |
| Cmn - Canadian Medical Network [1024] | $60,109 | 458% |
| Ets - Lifetrac Network [1103] | $60,109 | 458% |
| Health Net Bh (Mhn) [1038] | $60,109 | 458% |
| Health Net Bh (Mhn) [2010] | $60,109 | 458% |
| Interlink Health Services Transplant [1124] | $60,109 | 458% |
| Interlink Health Transplant [2085] | $60,109 | 458% |
| Mgm Resorts [1053] | $60,109 | 458% |
| National Healthcare Solutions Inc [1100] | $60,109 | 458% |
| Quality Health [1069] | $60,109 | 458% |
| San Diego County Sheriff Custody [2012] | $60,109 | 458% |
| Scripps Coastal Med Grp [1074] | $60,109 | 458% |
| Tri-City [1085] | $60,109 | 458% |
| Kaiser [1046] | $61,958 | 472% |
| Embassy Sponsored [1101] | $62,883 - $64,733 | 479% |
| Interplan [1045] | $64,733 | 494% |
| Mercy Physicians Med Grp [1052] | $64,733 | 494% |
| Pacific Foundation [1063] | $64,733 | 494% |
| Beech Street [1012] | $69,357 | 529% |
| First Health [1032] | $69,357 | 529% |
| Admar [1001] | $71,206 | 543% |
| Bps - Benefit Plan Services [1015] | $71,206 | 543% |
| Multiplan [1058] | $71,206 | 543% |
| Private Healthcare Systems [1067] | $71,206 - $92,475 | 543% |
| Carnival Cruises [1018] | $73,980 | 564% |
| Alternate Kaiser Rad Onc [2089] | $92,475 | 705% |
| Sharp Healthcare Transplant [1119] | $124,842 | 952% |