CMS Price Transparency Data

Total hip replacement

Facility: Saint John's Health Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17,149
about 1.3× the $13,117 Medicare rate · typically $12,913–$19,856
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,499
About the fair price
about $350 over the fair price · 1.3× Medicare
Medicare pays $13,117 Fair price $17,149 This hospital $17,499

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 $17,499

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 $17,149 (about 1.3× the $13,117 Medicare rate). Saint John's Health Center charges insurers about $17,499 — about the fair price. Located in Santa Monica, 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✓ Cigna✓ Humana Kaiser 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 $17,698 - $20,076 135%
Blue Cross Blue Shieldmajor $1,747 - $19,485 13%
Aetnamajor $16,513 126%
Cignamajor $9,891 75%
Humanamajor $16,843 128%
Health Net $30,073 - $48,502 229%
+ 2 smaller / regional plans $18,164 - $21,466

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Facility Profile & Credentials

  • Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals