CMS Price Transparency Data
Total hip replacement
Facility: Adventist Health White Memorial
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $1,214
- Cash Discount Price: $172
- vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Adventist Health White Memorial is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.09x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$172
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,214
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: $172 (1%)
Insurance Median: $1,214 (9%)
Cash: $172 (1% of Medicare)
Ins. Median: $1,214 (9% 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 |
|---|---|---|
| Healthnet Mcal | $119 | 1% |
| Fcs Ipa Medi-Cal Op/Profee Only | $120 | 1% |
| Ahp Medi-Cal | $140 | 1% |
| Assoc Hispanic Physcns Mcal | $140 | 1% |
| Bella Vista Medi-Cal Op/Profee Only | $140 | 1% |
| El Proyecto Mcal Profee Only | $140 | 1% |
| Global Care Mcal Profee Only | $140 | 1% |
| Hcla Mcal Profee Only | $140 | 1% |
| Molina Medi-Cal | $160 | 1% |
| Prospect Mg Com/Pos Profee Only-All Other Plan | $192 - $300 | 1% |
| Prospect Mg Mcal Profee Only | $192 - $300 | 1% |
| Prospect Mg Mcr Adv Profee Only | $192 - $300 | 1% |
| Multiplan Ppo - All Plans | $530 - $5,848 | 4% |
| Access Group | $1,032 | 8% |
| Lasalle Mg Commercial - All Other Plans | $1,032 | 8% |
| Access Senior - All Other Plans | $1,214 | 9% |
| Ahp - All Other Plans | $1,214 | 9% |
| Ahp Senior | $1,214 | 9% |
| Altamed Connect | $1,214 | 9% |
| Avanti Mcr Adv - All Other Plans | $1,214 | 9% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,214 | 9% |
| Blue Cross Blue Shield | $1,214 - $3,032 | 9% |
| Brand New Day Mcare - All Plans | $1,214 | 9% |
| Bs Va Mcare | $1,214 | 9% |
| Care First Mcare - All Other Plans | $1,214 | 9% |
| Caremore Mcare - All Plans | $1,214 | 9% |
| Clever Care - All Plans | $1,214 | 9% |
| El Proyecto Comm Profee Only - All Other Plans | $1,214 | 9% |
| El Proyecto Mcr Profee Only | $1,214 | 9% |
| Fcs Ipa Mcr Advan Op/Profee Only | $1,214 | 9% |
| Global Care Comm Profee Only - All Other Plans | $1,214 | 9% |
| Global Care Mcr Profee Only | $1,214 | 9% |
| Hcla Comm Profee Only - All Other Plans | $1,214 | 9% |
| Hcla Mcr Profee Only | $1,214 | 9% |
| Humana | $1,214 | 9% |
| La Care Mcr Adv - All Plans | $1,214 | 9% |
| Lasalle Mg Senior | $1,214 | 9% |
| Medicare (plans) | $1,214 | 9% |
| Pacific Alliance Mcare - All Other Plans | $1,214 | 9% |
| Preferred Senior | $1,214 | 9% |
| Scan Health Mcare - All Plans | $1,214 | 9% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $1,214 | 9% |
| Tricare | $1,214 | 9% |
| UnitedHealthcare | $1,214 - $1,786 | 9% |
| Fcs Ipa Op/Profee Only - All Other Plans | $1,275 | 10% |
| Ah Employee Health Plan - All Plans | $1,335 | 10% |
| Molina Benefit Exchange - All Other Plans | $1,396 | 11% |
| Molina Mcare | $1,396 | 11% |
| Aetna | $1,448 | 11% |
| Preferred Commercial - All Other Plans | $1,457 | 11% |
| Intergrated Medical - All Plans | $1,578 | 12% |
| Blue Shield Mcr Adv | $1,592 | 12% |
| Cigna | $1,598 | 12% |
| Western Growers/Pinnacle - All Plans | $1,687 | 13% |
| Healthnet - All Other Plans | $1,769 | 13% |
| Healthnet Comm Care | $1,769 | 13% |
| Centivo - All Plans | $1,821 | 14% |
| Healthnet Mcr Adv | $1,857 | 14% |
| Blue Shield Epn | $2,276 | 17% |
| Blue Shield - All Other Plans | $2,405 | 18% |