CMS Price Transparency Data
Total hip replacement
Facility: Anaheim Global Medical Center
Billing Code: 27130 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 27130
- Insurance Median: $16,432
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Anaheim Global Medical Center is $16,432. 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 1.25x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$16,432
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: $16,432 (125%)
Ins. Median: $16,432 (125% 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 |
|---|---|---|
| Ihhi Reciprocity | $1,200 | 9% |
| Medi-Cal Hmo/Non Contract | $1,489 | 11% |
| Brand New Day | $1,787 - $20,641 | 14% |
| Healthcare Partners | $2,136 | 16% |
| Hollywood Presbyterian | $2,136 | 16% |
| Kaiser | $2,136 - $16,432 | 16% |
| Prime Health Services | $2,136 - $19,765 | 16% |
| State Of California | $2,136 - $21,962 | 16% |
| Altamed | $2,991 - $16,432 | 23% |
| Caloptima | $2,991 - $16,513 | 23% |
| Choc Health Alliance | $2,991 | 23% |
| County Of Orange | $2,991 - $20,540 | 23% |
| Family Choice Mcal | $2,991 | 23% |
| Heritage Provider Network | $2,991 - $23,943 | 23% |
| Prospect Health Plan | $2,991 - $24,769 | 23% |
| Aetna | $4,748 - $16,432 | 36% |
| Monarch Health Plan | $7,749 - $9,752 | 59% |
| Cigna | $8,806 | 67% |
| UnitedHealthcare | $13,439 - $16,432 | 102% |
| Altamed Health Services | $15,610 - $16,432 | 119% |
| Astiva | $16,432 | 125% |
| Blue Shield Of California | $16,432 - $62,605 | 125% |
| California Health Plan | $16,432 | 125% |
| Central Health Plan Of California Inc | $16,432 | 125% |
| Champion Health Plan | $16,432 | 125% |
| Citizens Choice | $16,432 | 125% |
| Clever Care Health Plan | $16,432 | 125% |
| Easy Choice | $16,432 | 125% |
| For Your Benefit | $16,432 | 125% |
| Health Net Inc | $16,432 | 125% |
| Healthcare Partners Sr Hmo | $16,432 | 125% |
| Hollywood Presbyerian | $16,432 | 125% |
| Humana | $16,432 | 125% |
| Medicare (plans) | $16,432 | 125% |
| Monarch | $16,432 | 125% |
| Onecare | $16,432 | 125% |
| Other Sr Non Contract | $16,432 | 125% |
| Physicians For Healthy Hospitals | $16,432 | 125% |
| Scan | $16,432 | 125% |
| St Joseph Hospital Sr | $16,432 | 125% |
| Us Federal Marshall/Department Of Immigration | $16,432 | 125% |
| Velocity National Provider Network Sr | $16,432 | 125% |
| Verda Health Plan | $16,432 | 125% |
| Veterans Administration | $16,432 | 125% |
| Choice Physicians Network | $16,513 | 126% |
| Imperial Health Plan Of Ca | $16,513 | 126% |
| Innovative Integrated Health | $16,513 | 126% |
| Medcare Partners Health Plan | $16,513 | 126% |
| Self Pay/Ab774/Cbo Use Only | $16,513 | 126% |
| Us Dept Of Labor | $16,513 | 126% |
| Victim Of Violent Crime | $16,513 | 126% |
| Victim Of Violent Crime (Mep) | $16,513 | 126% |
| Victoria Hospice | $16,513 | 126% |
| Healthcare Partners Hmo | $17,834 | 136% |
| Align Sr Care | $18,404 | 140% |
| Coventry Health | $19,765 - $20,534 | 151% |
| Interplan | $19,985 | 152% |
| Veterans Evaluation Services | $20,641 | 157% |
| Multiplan | $21,522 - $35,000 | 164% |
| Three Rivers Network | $21,522 - $28,897 | 164% |
| Velocity National Provider Network Wc | $21,962 | 167% |
| Staywell/Island Home Ins | $23,118 | 176% |
| Health Net | $23,283 - $28,328 | 178% |
| Naphcare | $25,595 | 195% |
| Velocity National Provider Network Ppo | $28,897 | 220% |
| Healthsmart Preferred Network | $37,500 | 286% |
| Champus | $50,000 | 381% |