CMS Price Transparency Data

Total hip replacement

Facility: Providence St. Jude Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$18,267
about 1.4× the $13,117 Medicare rate · typically $12,922–$20,629
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,343
Below the fair price — a good deal
about $1,924 under the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $18,267 This hospital $16,343

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 $16,343

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

A fair price for a Total hip replacement is about $18,267 (about 1.4× the $13,117 Medicare rate). Providence St. Jude Medical Center charges insurers about $16,343 — below the fair price — a good deal. Located in Fullerton, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $15,005 - $16,173 114%
Blue Cross Blue Shieldmajor $6,405 - $20,418 49%
Aetnamajor $14,520 - $16,513 111%
Health Net $30,548 - $39,963 233%
+ 1 smaller / regional plan $14,036

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Facility Profile & Credentials

  • Address: 101 E Valencia Mesa Drive, Fullerton, CA 92835
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals