CMS Price Transparency Data

Total hip replacement

Facility: St Francis Hospital & Medical Center

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $419
  • Cash Discount Price: $2,825
  • vs. Medicare Baseline: 0.03x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at St Francis Hospital & Medical Center is $419. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,825. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.03x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$2,825

Average discount available for prompt cash payment at this facility.

Insurance Median
$419

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%)
Cash / Self-Pay: $2,825 (22%)
Insurance Median: $419 (3%)
Cash: $2,825 (22% of Medicare)
Ins. Median: $419 (3% 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
Fallon Health $121 - $20,009 1%
Aetna $126 - $15,083 1%
Albany County Correctional Facility $126 - $629 1%
Ambetter / Centene $126 - $629 1%
Amish Mennonite $126 - $629 1%
Ascension St. Vincent Public Safety Medical $126 - $629 1%
Bcccp-Michigan $126 - $629 1%
Bccp $126 - $629 1%
Blue Cross Blue Shield $126 - $53,492 1%
Bmc Healthnet $126 - $629 1%
Breast Grant-Connecticut $126 - $629 1%
Broward County Dept of Health $126 - $629 1%
California Health and Wellness $126 - $629 1%
Can Community Health Inc $126 - $629 1%
Cardinal Innovations Lme $126 - $629 1%
Care Connections of Northern Iowa $126 - $629 1%
Care Oregon Ohp $126 - $629 1%
Cencal Health Plan $126 - $629 1%
Cenpatico $126 - $629 1%
Chhuny $126 - $629 1%
Childrens Comm Health Plan $126 - $629 1%
Childrens Medical Services Title 19 $126 - $629 1%
Cigna $126 - $34,638 1%
City of Philadelphia $126 - $629 1%
Cmh Allegan County $126 - $629 1%
Cmh Ausable Valley $126 - $629 1%
Cmh Barry County $126 - $629 1%
Cmh Bay-Arenac County $126 - $629 1%
Cmh Berrien County $126 - $629 1%
Cmh Cass County $126 - $629 1%
Cmh Central Mi County $126 - $629 1%
Cmh Clinton-Eaton-Ingham County $126 - $629 1%
Cmh Detroit Wayne Integrated Health Network $126 - $629 1%
Cmh Genesee County $126 - $629 1%
Cmh Ionia County $126 - $629 1%
Cmh Jackson County/Lifeways $126 - $629 1%
Cmh Kalamazoo $126 - $629 1%
Cmh Kent County $126 - $629 1%
Cmh Lenawee County $126 - $629 1%
Cmh Livingston County $126 - $629 1%
Cmh Macomb $126 - $629 1%
Cmh Misc $126 - $629 1%
Cmh Monroe County $126 - $629 1%
Cmh Montcalm County $126 - $629 1%
Cmh Muskegon County $126 - $629 1%
Cmh Newaygo County $126 - $629 1%
Cmh North Country $126 - $629 1%
Cmh Northern Lakes County $126 - $629 1%
Cmh Oakland County $126 - $629 1%
Cmh Ottawa County $126 - $629 1%
Cmh Van Buren County $126 - $629 1%
Cmh Washtenaw County $126 - $629 1%
Cmh Wayne County/Carelink $126 - $629 1%
Cmh Wayne Cty/Com Liv Svcs $126 - $629 1%
Cmh West Mi County $126 - $629 1%
Community Benefit Health $126 - $629 1%
Community Care Behavorial Health $126 - $629 1%
Community Care Partners $126 - $629 1%
Community Health Choice $126 - $629 1%
Connections Csp $126 - $629 1%
County Coroner $126 - $629 1%
County Funding Generic $126 - $629 1%
Covid19 Hrsa Uninsured Testing and Treatment Fund $126 - $629 1%
Dean Wi Badgercare $126 - $629 1%
Delaware County Department of Health $126 - $629 1%
Delaware First Health $126 - $629 1%
Dph Tb Program $126 - $629 1%
Dscc $126 - $629 1%
Eastpointe Lme $126 - $629 1%
Family Health Network $126 - $629 1%
Freedom First Healthcare $126 - $629 1%
Fresno County Ccs $126 - $629 1%
Ghc Scw Wi Badgercare $126 - $629 1%
Harbor Health $126 - $629 1%
Health Safety Net $126 - $629 1%
Healthy Blue Ne $126 - $629 1%
Hennepin Health $126 - $629 1%
Humana $126 - $968 1%
Id County Ada $126 - $629 1%
Id County Canyon $126 - $629 1%
Id County Cat Fund $126 - $629 1%
Id County Other $126 - $629 1%
Id County Payette $126 - $629 1%
Idaho Dept Health and Wellfare $126 - $629 1%
Idaho Womens Health Check $126 - $629 1%
Indiana Breast Cervical Cancer $126 - $629 1%
Inland Empire Health Plan $126 - $629 1%
Intercommunity Health Ohp $126 - $629 1%
Iowa Total Care $126 - $629 1%
Jai Medical System $126 - $629 1%
Kern Family Health Plan $126 - $629 1%
Keystone First $126 - $629 1%
Keystone First Chip $126 - $629 1%
La Care Health Plan $126 - $629 1%
Lakeland Care Inc $126 - $629 1%
Managed Health Services - Indiana $126 - $629 1%
Maryland Breast & Cervical Program $126 - $629 1%
Maryland Healthy Smiles - Scion Dental $126 - $629 1%
Maryland Physicians Care $126 - $629 1%
Massachusetts Behavioral Health Partnership $126 - $629 1%
Mdwise $126 - $629 1%
Medi-Cal $126 - $629 1%
Medi-Cal Healthnet $126 - $629 1%
Medicaid / KanCare $126 - $2,825 1%
Medstar Dc Healthy Family $126 - $629 1%
Medstar Md Health Choice $126 - $629 1%
Mo Home State Health Plan $126 - $629 1%
Molina Centennial Care $126 - $629 1%
Nascentia Health Options $126 - $629 1%
Nebraska Total Care $126 - $629 1%
New York Cancer Services Program $126 - $629 1%
Nextlevel Health $126 - $629 1%
Oregon Screenwise $126 - $629 1%
Pace of Southwest Michigan $126 - $906 1%
Paramount Advantage $126 - $629 1%
Parkland Community Health Plan $126 - $629 1%
Partners Behavioral Lme $126 - $629 1%
Peach State Healthplan $126 - $629 1%
Philadelphia County Funding $126 - $629 1%
Presbyterian Centennial Care $126 - $629 1%
Prestige Health Choice $126 - $629 1%
Priority Partners $126 - $629 1%
Robert F Sing Program $126 - $629 1%
Rx 340B Pass Along $126 - $629 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $126 - $629 1%
Rx Medi-Cal $126 - $629 1%
Rx Meridian Rx $126 - $629 1%
Ryan White Florida Mssrp $126 - $629 1%
Sandhills Center Lme $126 - $629 1%
Screening for Life $126 - $629 1%
St Joseph County Hlth Dpt $126 - $629 1%
Stephenson Cty Health $126 - $629 1%
Sunshine State Health Plan $126 - $629 1%
Superior Health $126 - $629 1%
Tenncare $126 - $629 1%
Texas Children's Health Plan $126 - $629 1%
Trillium Community Ohp $126 - $629 1%
Tufts Health Public Plans $126 - $629 1%
UnitedHealthcare $126 - $15,385 1%
Vaya Health Lme $126 - $629 1%
Washtenaw Health Plan $126 - $629 1%
Wellsense Health Plan $126 - $629 1%
Wi Womens Wellness $126 - $629 1%
Health New England $134 - $1,408 1%
Align Senior Care $145 - $906 1%
Ally Align Care Adv $145 - $906 1%
American Health Advantage of Idaho $145 - $906 1%
American Health Plan $145 - $906 1%
Aurora Special Needs $145 - $906 1%
Blue Care Network Advantage $145 - $906 1%
Blue Shield - De (Highmark) Medciare Advantage $145 - $906 1%
Care Dimensions $145 - $906 1%
Care Improvement Plus $145 - $906 1%
Care Resources Pace $145 - $906 1%
Careplus Health Plans $145 - $906 1%
Cca - Zing Health $145 - $906 1%
Central Valley Medical Services Corp Pace $145 - $906 1%
Champion Health Plan McR Advantage $145 - $906 1%
Clear Spring Health $145 - $906 1%
Clover Health $145 - $906 1%
Commonwealth Care Alliance $145 - $952 1%
Community Pace at Home $145 - $906 1%
Eddy Senior Care-Pace $145 - $906 1%
Eddy Seniorcare Pace $145 - $906 1%
Elementcare $145 - $906 1%
Evercare $145 - $906 1%
Everence $145 - $906 1%
Gateway Health Plan $145 - $906 1%
Genesys Pace of Genesee County $145 - $906 1%
Georgia Health Advantage $145 - $906 1%
Gold Advantage $145 - $906 1%
Gpa Croell Redi Mix $145 - $906 1%
Health America Advantra $145 - $906 1%
Highmark Health Options Dual Plan $145 - $906 1%
Hope Select Pace $145 - $906 1%
Horizon Nj Total Care $145 - $906 1%
Hudson Headwaters Pace $145 - $906 1%
Huron Valley Pace $145 - $906 1%
Innovative Integrated Health Community Plans $145 - $906 1%
Iowa Health Advantage $145 - $906 1%
Johns Hopkins Advantage Md $145 - $906 1%
Lasso Healthcare Msa $145 - $906 1%
Life St Marys Pace $145 - $906 1%
Lifecircles Pace $145 - $906 1%
Longevity Health Plan $145 - $906 1%
Longevity IPA of Michigan LLC Health Plan Isnp $145 - $906 1%
Martins Point Generations Advantage $145 - $906 1%
Mass General Brigham McR Adv $145 - $906 1%
Medicare (plans) $145 - $15,853 1%
Medipak Advantage $145 - $906 1%
Mercy Life $145 - $906 1%
Mercyone Cedar Valley $145 - $906 1%
Meridian Complete $145 - $906 1%
Michigan Complete Health $145 - $906 1%
Nascentia Health Plus $145 - $906 1%
New Centry Health Careplus $145 - $906 1%
Osu Prime Care Advantage $145 - $906 1%
Pace Cny $145 - $906 1%
Pace Iowa Immanuel Pathways $145 - $906 1%
Pace Southeast $145 - $906 1%
Pace-Trinity Health $145 - $906 1%
Peak Pace Solutions $145 - $906 1%
Perennial Advantage $145 - $906 1%
Preferred Care Partners $145 - $906 1%
Presbyterian Senior Plan $145 - $906 1%
Provider Partners Health Plan of Illinois $145 - $906 1%
Provider Partners Health Plan of Indiana $145 - $906 1%
Pruitthealth Premier $145 - $906 1%
Reliance Community Care Partners Care Resources Pace $145 - $906 1%
Rx Allwin $145 - $906 1%
Rx Grane Grnmedd $145 - $906 1%
Rx Retiree Rx Care $145 - $906 1%
Scan Health Plan McR IPA Meritage Oon $145 - $906 1%
Secure Horizons Ma Pffs $145 - $906 1%
Serenity Pace $145 - $906 1%
Siouxland Pace $145 - $906 1%
Solis Health Plans $145 - $906 1%
Sunnyview-Pace Finance Dept $145 - $906 1%
Texan Plus $145 - $906 1%
The Health Plan $145 - $906 1%
Thome Pace $145 - $906 1%
Todays Options $145 - $906 1%
Tribute Health Plans $145 - $906 1%
Um Health Advantage $145 - $906 1%
Union Health Service $145 - $906 1%
Welbe Health $145 - $906 1%
Wellmed $145 - $906 1%
Veterans Administration $148 - $925 1%
Cca Senior Care Options $149 - $15,385 1%
Mass General Brigham Health Plan $154 - $2,114 1%
Champva $155 - $968 1%
Tricare $155 - $968 1%
Triwest Health Alliance $155 - $968 1%
Veterans Eval Services $155 - $968 1%
Us Family Health Plan $161 - $1,359 1%
Unicare $169 - $53,492 1%
Wellpoint $169 - $53,492 1%
Claimdoc $173 - $1,618 1%
Innovative Health Plan II $173 - $32,322 1%
Healthscope $207 - $1,942 2%
Connecticare $217 - $2,752 2%
Tufts Health Plan $217 - $2,039 2%
Centivo $227 - $2,126 2%
Bcn Domestic $228 - $53,492 2%
Blue Benefit Administrators of Massachusetts $228 - $53,492 2%
Blue Care Network $228 - $53,492 2%
Blue Distinction Transplant $228 - $53,492 2%
Blue Shield - Ca $228 - $53,492 2%
Blue Shield - Id (Regence) $228 - $53,492 2%
Blue Shield - Ny Highmark Northeastern $228 - $53,492 2%
Blue Shield - Ny Highmark Western $228 - $53,492 2%
Blue Shield - PA (Highmark) $228 - $53,492 2%
Blue Shield - Wa (Regence) $228 - $53,492 2%
Health Choices $228 - $53,492 2%
Kaiser Domestic $228 - $53,492 2%
Pre-Employment $228 - $53,492 2%
Wc Domestic $228 - $53,492 2%
Harvard Pilgrim Healthcare $232 - $2,174 2%
Prime Health Services $237 - $2,219 2%
Multiplan $257 - $2,411 2%
Andrie Inc $259 - $2,430 2%
East Greenbush Central School District $259 - $2,430 2%
Genex Wc $259 - $2,430 2%
Healthsmart Workers Comp $259 - $2,430 2%
Jag Source $259 - $2,430 2%
New York State Insurance Fund $259 - $2,430 2%
Njm Insurance Group $259 - $2,430 2%
Rx Heatlhcomp $259 - $2,430 2%
Rx Restat $259 - $2,430 2%
Rx Saif Opdp Wc $259 - $2,430 2%
Rx Worker's Comp $259 - $2,430 2%
Wc Accident Fund $259 - $2,430 2%
Wc Ace $259 - $2,430 2%
Wc Acs Federal Employees $259 - $2,430 2%
Wc Acuity $259 - $2,430 2%
Wc Advantage $259 - $2,430 2%
Wc Aegis $259 - $2,430 2%
Wc Aig $259 - $2,430 2%
Wc Aims $259 - $2,430 2%
Wc Alaska National Ins $259 - $2,430 2%
Wc Align Network $259 - $2,430 2%
Wc Allied $259 - $2,430 2%
Wc Am Trust N America $259 - $2,430 2%
Wc American Claims Mgmt $259 - $2,430 2%
Wc Amerisure $259 - $2,430 2%
Wc Amtrust $259 - $2,430 2%
Wc Asu Risk Mgt $259 - $2,430 2%
Wc Benetech $259 - $2,430 2%
Wc Berkley Admin $259 - $2,430 2%
Wc Broadspire $259 - $2,430 2%
Wc Broward County $259 - $2,430 2%
Wc Bunch & Associates $259 - $2,430 2%
Wc California State Comp Ins $259 - $2,430 2%
Wc California State Ins Fund $259 - $2,430 2%
Wc Capitol Area Health Consortium $259 - $2,430 2%
Wc Ccmsi $259 - $2,430 2%
Wc Chartis $259 - $2,430 2%
Wc Chubb $259 - $2,430 2%
Wc Cirma $259 - $2,430 2%
Wc City of Albany $259 - $2,430 2%
Wc City of Sioux City $259 - $2,430 2%
Wc Claims Mgmt Inc $259 - $2,430 2%
Wc Cna $259 - $2,430 2%
Wc Comp One Admin C/O Manageability $259 - $2,430 2%
Wc Compone Admin $259 - $2,430 2%
Wc Ct Healthcare Trust $259 - $2,430 2%
Wc Donegal Insurance Group $259 - $2,430 2%
Wc Emc Insurance Company $259 - $2,430 2%
Wc Employee Mutual $259 - $2,430 2%
Wc Enablecomp $259 - $2,430 2%
Wc Encore Health Network $259 - $2,430 2%
Wc Erie $259 - $2,430 2%
Wc Esis $259 - $2,430 2%
Wc Evolutions $259 - $2,430 2%
Wc Fcci $259 - $2,430 2%
Wc Fed Ex $259 - $2,430 2%
Wc Federal Black Lung $259 - $2,430 2%
Wc Federated $259 - $2,430 2%
Wc Finley Occupational Health $259 - $2,430 2%
Wc First Agency/Occunet $259 - $2,430 2%
Wc Ford Motor $259 - $2,430 2%
Wc Fresno Unified Emp $259 - $2,430 2%
Wc Gallagher Bassett $259 - $2,430 2%
Wc General Motors $259 - $2,430 2%
Wc Generic $259 - $2,430 2%
Wc Genex Care for Ohio $259 - $2,430 2%
Wc Great West Casualty $259 - $2,430 2%
Wc Guarantee Insurance $259 - $2,430 2%
Wc Guard Insurance Company $259 - $2,430 2%
Wc Hab $259 - $2,430 2%
Wc Hartford $259 - $2,430 2%
Wc Hastings $259 - $2,430 2%
Wc Health Management $259 - $2,430 2%
Wc Heritage Summit $259 - $2,430 2%
Wc Hireright $259 - $2,430 2%
Wc Horizon $259 - $2,430 2%
Wc Icw Group $259 - $2,430 2%
Wc Idaho State Ins Fund $259 - $2,430 2%
Wc Intercare Insurance $259 - $2,430 2%
Wc Intermountain $259 - $2,430 2%
Wc Johns Eastern $259 - $2,430 2%
Wc Kemberton $259 - $2,430 2%
Wc Key Ins & Benefit Solutions $259 - $2,430 2%
Wc Liberty Mutual $259 - $2,430 2%
Wc Mac Risk Management $259 - $2,430 2%
Wc Massachusetts $259 - $2,430 2%
Wc Mdia $259 - $2,430 2%
Wc Meadowbrook Claim $259 - $2,430 2%
Wc Medical Administrators $259 - $2,430 2%
Wc Meijers $259 - $2,430 2%
Wc Memic $259 - $2,430 2%
Wc Mercy Workcare $259 - $2,430 2%
Wc Michigan $259 - $2,430 2%
Wc Michigan Millers Mutual $259 - $2,430 2%
Wc Mitchell Frankenmuth $259 - $2,430 2%
Wc Mra $259 - $2,430 2%
Wc Nationwide $259 - $2,430 2%
Wc Nca Comp $259 - $2,430 2%
Wc New York $259 - $2,430 2%
Wc New York Special Funds $259 - $2,430 2%
Wc North American Rishces $259 - $2,430 2%
Wc Northeast Health $259 - $2,430 2%
Wc Notre Dame $259 - $2,430 2%
Wc Novanet $259 - $2,430 2%
Wc O'Hara Corp $259 - $2,430 2%
Wc Occ Health Allen $259 - $2,430 2%
Wc Ohio Bureau $259 - $2,430 2%
Wc One Call Medical $259 - $2,430 2%
Wc Paradigm $259 - $2,430 2%
Wc Peerless $259 - $2,430 2%
Wc Pma $259 - $2,430 2%
Wc Praxis Health Network $259 - $2,430 2%
Wc Price Chopper $259 - $2,430 2%
Wc Procura Management $259 - $2,430 2%
Wc Qualcare $259 - $2,430 2%
Wc Quiktrip $259 - $2,430 2%
Wc Reny Company $259 - $2,430 2%
Wc Rev Claims $259 - $2,430 2%
Wc Risico $259 - $2,430 2%
Wc Rural Mutual $259 - $2,430 2%
Wc Saif Oregon $259 - $2,430 2%
Wc Secura $259 - $2,430 2%
Wc Sedgwick $259 - $2,430 2%
Wc Sentry $259 - $2,430 2%
Wc Sheakley Unicomp $259 - $2,430 2%
Wc Smile Lodge $259 - $2,430 2%
Wc Society $259 - $2,430 2%
Wc Srs $259 - $2,430 2%
Wc Taconic (Mro) $259 - $2,430 2%
Wc Taconic Farms $259 - $2,430 2%
Wc Travelers $259 - $2,430 2%
Wc Triad Group $259 - $2,430 2%
Wc Tristar $259 - $2,430 2%
Wc Troy Ny $259 - $2,430 2%
Wc Tyson $259 - $2,430 2%
Wc Unified Health Services $259 - $2,430 2%
Wc United Heartland $259 - $2,430 2%
Wc Us Dept of Labor $259 - $2,430 2%
Wc Velocity $259 - $2,430 2%
Wc Walmart $259 - $2,430 2%
Wc West Bend $259 - $2,430 2%
Wc West Bend Mutual/Argent $259 - $2,430 2%
Wc Winnebago Industries $259 - $2,430 2%
Wc Yankee Trails $259 - $2,430 2%
Wc York Risk $259 - $2,430 2%
Wc Zenith $259 - $2,430 2%
Wc Zurich $259 - $2,430 2%
Coventry $272 - $2,551 2%
First Health $272 - $2,551 2%
Guardian $272 - $2,551 2%
Meritain $272 - $2,551 2%
Health Smart $384 - $4,802 3%
Wc Corvel $384 - $4,802 3%
Delta Dental Ga $452 - $5,650 3%
Delta Dental Mi $452 - $5,650 3%
Delta Dental Mo $452 - $5,650 3%
Delta Dental Nj $452 - $5,650 3%
Delta Dental Ny $452 - $5,650 3%
Delta Dental Oh $452 - $5,650 3%
Delta Dental Or $452 - $5,650 3%
Delta Dental PA $452 - $5,650 3%
Delta Dental VA $452 - $5,650 3%
Delta Dental Wa $452 - $5,650 3%
Liberty Dental $452 - $5,650 3%
Connecticut Dept of Correction $14,215 108%
Allegiance $34,638 264%
Health Partners $34,638 264%
Magnacare $34,638 264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals