CMS Price Transparency Data

Total hip replacement

Facility: UCSF Health St. Mary's Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17,286
about 1.3× the $13,117 Medicare rate · typically $10,516–$18,977
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,504
About the fair price
about $1,218 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $17,286 This hospital $18,504

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 $18,504

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 $17,286 (about 1.3× the $13,117 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $18,504 — about the fair price. Located in San Francisco, 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 $18,894 144%
Blue Cross Blue Shieldmajor $2,649 - $18,894 20%
Aetnamajor $18,894 144%
Humanamajor $18,894 144%
Kaiser Permanentemajor $1,709 - $18,894 13%
Health Net $2,068 - $21,530 16%
Oscar Health $61,972 472%
+ 7 smaller / regional plans $1,467 - $54,792

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals