CMS Price Transparency Data

Total hip replacement

Facility: Saint Agnes Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$14,075
about 1.1× the $13,117 Medicare rate · typically $2,126–$18,160
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,182
About the fair price
about $2,107 over the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $14,075 This hospital $16,182 Cash price $50,386

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $2,295 Priciest $16,182

Black dot = this hospital, among the 9 CA 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 $14,075 (about 1.1× the $13,117 Medicare rate). Saint Agnes Medical Center charges insurers about $16,182, or about $50,386 in cash — about the fair price. Located in Fresno, CA.

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✓ Humana✓ Kaiser Permanente Cigna

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 $16,363 - $17,082 125%
Blue Cross Blue Shieldmajor $5,754 - $34,240 44%
Aetnamajor $16,182 123%
Humanamajor $16,182 - $17,008 123%
Kaiser Permanentemajor $28,897 220%
GEHA $17,082 130%
+ 5 smaller / regional plans $5,754 - $34,240
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals