CMS Price Transparency Data
Total hip replacement
Facility: George Washington Univ Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$15,277
about 1.2× the $13,117 Medicare rate · typically $7,225–$23,435
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,365
Below the fair price — a good deal
about $3,912 under the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $15,277 This hospital $11,365
A fair price for a Total hip replacement is about $15,277 (about 1.2× the $13,117 Medicare rate). George Washington Univ Hospital charges insurers about $11,365 — below the fair price — a good deal. Located in Washington, DC.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
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 | $12,698 - $48,142 | 97% |
| Blue Cross Blue Shieldmajor | $3,078 - $3,507 | 23% |
| Aetnamajor | $6,915 | 53% |
| Cignamajor | $11,365 | 87% |
| + 1 smaller / regional plan | $11,370 |
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