CMS Price Transparency Data
Total hip replacement
Facility: Whittier Hospital Medical Center
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $16,217
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Whittier Hospital Medical Center is $16,217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.24x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$16,217
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$13,116.76
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $13,116.76 (100%)
Insurance Median: $16,217 (124%)
Ins. Median: $16,217 (124% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $1,048 - $23,515 | 8% |
| Universal Care | $1,100 - $32,500 | 8% |
| Pacific Independent Physician Association | $1,400 | 11% |
| Applecare Medical Group | $1,456 | 11% |
| Aids Healthcare Foundation | $1,489 - $16,217 | 11% |
| Allied Physicians | $1,489 - $24,769 | 11% |
| Alta Med Health Network | $1,489 - $16,217 | 11% |
| Altamed Health Services Corporation | $1,489 | 11% |
| Beverly Hospital | $1,489 - $18,164 | 11% |
| Brand New Day | $1,489 - $20,271 | 11% |
| Emanate Health | $1,489 - $20,263 | 11% |
| Health Net | $1,489 - $16,217 | 11% |
| Healthy Way La | $1,489 | 11% |
| Heritage Provider Network | $1,489 - $22,292 | 11% |
| Kaiser Foundation | $1,489 - $57,794 | 11% |
| La Care Healthy Families/Healthy Kids | $1,489 | 11% |
| Non Contracted Medi-Cal | $1,489 | 11% |
| Prospect Health Plan | $1,489 - $26,420 | 11% |
| Synermed | $1,489 - $16,513 | 11% |
| Medicare (plans) | $1,560 - $17,026 | 12% |
| La Care Health Plan | $1,713 - $16,217 | 13% |
| Capnet | $2,000 | 15% |
| Edward Medical Group | $2,000 | 15% |
| Caloptima | $2,085 - $16,217 | 16% |
| Monarch Healthplan | $2,085 | 16% |
| Care First Health Plan | $2,136 | 16% |
| County Of Los Angeles Dept Of Health Services | $2,136 | 16% |
| Medi Caid/ Medi Cal | $2,136 | 16% |
| Great-West Healthcare Of California | $2,500 | 19% |
| Prohealth | $2,500 | 19% |
| Care 1St Health Plan | $2,600 - $5,500 | 20% |
| UnitedHealthcare | $2,600 - $14,628 | 20% |
| Cost Containment | $2,800 | 21% |
| Health Net Inc | $3,000 - $42,421 | 23% |
| Blue Cross Blue Shield | $4,038 - $33,574 | 31% |
| Blue Shield Of California | $7,482 - $16,513 | 57% |
| Veterans Administration | $11,559 | 88% |
| Molina Medical Center | $12,805 - $20,641 | 98% |
| Alignment Health Plan | $14,650 | 112% |
| Avanti | $14,861 - $19,815 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $14,861 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $14,861 | 113% |
| Ahmc Reciprocity | $16,217 - $16,513 | 124% |
| Alta Los Angeles Hospitals Inc | $16,217 | 124% |
| Apa/Aco Inc | $16,217 | 124% |
| Central Health Plan | $16,217 | 124% |
| Easy Choice Health Plan | $16,217 | 124% |
| Humana | $16,217 | 124% |
| Pacificare Of California | $16,217 | 124% |
| Scan Health Plan | $16,217 | 124% |
| Ahmc Medi-Cal Reciprocity Agreement | $16,513 | 126% |
| Ahmc Reciprocity Agreement Senior/Commercial | $16,513 | 126% |
| Caremore | $16,513 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $16,513 | 126% |
| La Care Covered Direct | $16,513 | 126% |
| Pacific Alliance Medical Center | $16,513 | 126% |
| Private Pay | $16,513 | 126% |
| Self-Pay | $16,513 | 126% |
| Molina Healthcare Of California | $17,028 | 130% |
| San Miguel Health Plan | $18,164 | 138% |
| Chinatown Service Center Pace | $19,815 | 151% |
| Ahmc Health | $20,641 | 157% |
| Knox-Keene Act | $20,641 | 157% |
| Fmc Los Angeles County | $20,864 | 159% |
| Interplan Health Group | $21,303 | 162% |
| Athens Administrators Ahmc Work Comp | $21,962 | 167% |
| Misc 1 | $21,962 | 167% |
| Multiplan Wc | $21,962 | 167% |
| Healthnet | $41,150 - $49,555 | 314% |
| Tricare | $50,000 | 381% |