CMS Price Transparency Data

Total hip replacement

Facility: Valley Children's Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,223
about 0.2× the $13,117 Medicare rate · typically $1,416–$10,679
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,991
About the fair price
about $232 under the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $3,223 This hospital $2,991

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 6 of 8 other CA hospitals charge more for the same procedure.

Cheapest $2,295 Priciest $7,065

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 $3,223 (about 0.2× the $13,117 Medicare rate). Valley Children's Hospital charges insurers about $2,991 — about the fair price. Located in Madera, 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✓ Kaiser Permanente AetnaCignaHumana

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 $3,311 25%
Blue Cross Blue Shieldmajor $1,417 11%
Kaiser Permanentemajor $2,159 16%
Health Net $1,811 14%
+ 12 smaller / regional plans $1,715 - $4,345

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Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens