CMS Price Transparency Data

Total hip replacement

Facility: Providence Mission Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17,309
about 1.3× the $13,117 Medicare rate · typically $13,203–$20,729
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,236
Below the fair price — a good deal
about $2,073 under the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $17,309 This hospital $15,236

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 $15,236

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 $17,309 (about 1.3× the $13,117 Medicare rate). Providence Mission Hospital charges insurers about $15,236 — below the fair price — a good deal. Located in Mission Viejo, 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 $14,208 - $15,667 108%
Blue Cross Blue Shieldmajor $7,908 - $19,485 60%
Aetnamajor $14,805 - $16,513 113%
Health Net $30,548 - $39,963 233%
+ 1 smaller / regional plan $14,036

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Facility Profile & Credentials

  • Address: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals