CMS Price Transparency Data
Total hip replacement
Facility: Northbay Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$15,160
about 1.2× the $13,117 Medicare rate · typically $5,785–$16,793
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $15,160 Cash price $3,951 Hospital's list price $3,951
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $7,491 | 57% |
| Blue Cross Blue Shieldmajor | $1,763 - $18,862 | 13% |
Self-Pay How to get the cash price
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Other Procedures at Northbay 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.