CMS Price Transparency Data
Total hip replacement
Facility: Santa Clara Valley Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$10,344
about 0.8× the $13,117 Medicare rate · typically $1,553–$14,748
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $10,344 Cash price $11,217 Hospital's list price $16,024
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $1,788 | 14% |
| Blue Cross Blue Shieldmajor | $2,805 - $10,621 | 21% |
| Aetnamajor | $1,660 | 13% |
| Cignamajor | $2,019 - $3,335 | 15% |
| Health Net | $1,491 | 11% |
| + 2 smaller / regional plans | $186 - $3,076 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Santa Clara Valley Medical Center
Compare: Total hip replacement at other CA hospitals
- Clovis Community Medical Center · Clovis $2,295
- Southwest Healthcare Rancho Springs Hospital · Murrieta $2,694
- Valley Children's Hospital · Madera $2,991
- Palmdale Regional Medical Center · Palmdale $3,833
- Corona Regional Medical Center · Corona $3,851
- Mercy Medical Center · Merced $5,819
- Riverside Community Hospital · Riverside $5,892
- Pomona Valley Hospital Medical Center · Pomona $6,405
Insurance negotiated median for the same procedure, sorted lowest first.