CMS Price Transparency Data

Total hip replacement

Facility: Henry Mayo Newhall Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$16,557

about 1.3× the $13,117 Medicare rate · typically $12,216–$18,773

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,432

About the fair price

about $125 under the fair price · 1.3× Medicare

Medicare pays $13,117 Fair price $16,557 This hospital $16,432 Cash price $39,784 Hospital's list price $39,784

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 $16,432

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 $16,557 (about 1.3× the $13,117 Medicare rate). Henry Mayo Newhall Hospital charges insurers about $16,432, or about $39,784 in cash — about the fair price. Located in Valencia, 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	$9,863 - $16,760	75%
Blue Cross Blue Shieldmajor	$4,245 - $16,432	32%
Aetnamajor	$5,854 - $16,432	45%
Humanamajor	$16,432	125%
Kaiser Permanentemajor	$16,432	125%
Health Net	$16,432 - $29,577	125%
Providence Health Plan	$16,432	125%
+ 2 smaller / regional plans	$16,432 - $29,577

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 39,784), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm Henry Mayo Newhall Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Henry Mayo Newhall Hospital

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.