CMS Price Transparency Data

Total hip replacement

Facility: St Francis Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $562
  • Cash Discount Price: $1,732
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at St Francis Hospital is $562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,732. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.04x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$1,732

Average discount available for prompt cash payment at this facility.

Insurance Median
$562

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: $1,732 (13%)
Insurance Median: $562 (4%)
Cash: $1,732 (13% of Medicare)
Ins. Median: $562 (4% 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
Delaware First Health $118 - $1,106 1%
Blue Cross Blue Shield $120 - $13,665 1%
Ambetter / Centene $128 - $1,204 1%
First Health $130 - $1,219 1%
Geha $132 - $1,456 1%
UnitedHealthcare $132 - $1,456 1%
Aetna $135 - $14,463 1%
Align Senior Care $135 - $843 1%
Ally Align Care Adv $135 - $843 1%
American Health Advantage Of Idaho $135 - $843 1%
American Health Plan $135 - $843 1%
Aurora Special Needs $135 - $843 1%
Blue Care Network Advantage $135 - $843 1%
Care Dimensions $135 - $843 1%
Care Improvement Plus $135 - $843 1%
Care Resources Pace $135 - $843 1%
Careplus Health Plans $135 - $843 1%
Cca - Zing Health $135 - $843 1%
Cca Senior Care Options $135 - $843 1%
Central Valley Medical Services Corp Pace $135 - $843 1%
Champion Health Plan Mcr Advantage $135 - $843 1%
Cigna $135 - $13,794 1%
Clear Spring Health $135 - $843 1%
Clover Health $135 - $843 1%
Commonwealth Care Alliance $135 - $843 1%
Community Pace At Home $135 - $843 1%
Eddy Senior Care-Pace $135 - $843 1%
Eddy Seniorcare Pace $135 - $843 1%
Elementcare $135 - $843 1%
Evercare $135 - $843 1%
Everence $135 - $843 1%
Gateway Health Plan $135 - $843 1%
Genesys Pace Of Genesee County $135 - $843 1%
Georgia Health Advantage $135 - $843 1%
Gold Advantage $135 - $843 1%
Gpa Croell Redi Mix $135 - $843 1%
Health America Advantra $135 - $843 1%
Highmark Health Options Dual Plan $135 - $14,075 1%
Hope Select Pace $135 - $843 1%
Horizon Nj Total Care $135 - $843 1%
Hudson Headwaters Pace $135 - $843 1%
Humana $135 - $922 1%
Huron Valley Pace $135 - $843 1%
Innovative Integrated Health Community Plans $135 - $843 1%
Iowa Health Advantage $135 - $843 1%
Johns Hopkins Advantage Md $135 - $843 1%
Lasso Healthcare Msa $135 - $843 1%
Life St Marys Pace $135 - $843 1%
Lifecircles Pace $135 - $843 1%
Longevity Health Plan $135 - $843 1%
Longevity Ipa Of Michigan Llc Health Plan Isnp $135 - $843 1%
Martins Point Generations Advantage $135 - $843 1%
Mass General Brigham Mcr Adv $135 - $843 1%
Medicare (plans) $135 - $14,329 1%
Medipak Advantage $135 - $843 1%
Mercy Life $135 - $843 1%
Mercyone Cedar Valley $135 - $843 1%
Meridian Complete $135 - $843 1%
Michigan Complete Health $135 - $843 1%
Nascentia Health Plus $135 - $843 1%
New Centry Health Careplus $135 - $843 1%
Osu Prime Care Advantage $135 - $843 1%
Pace Cny $135 - $843 1%
Pace Iowa Immanuel Pathways $135 - $843 1%
Pace Of Southwest Michigan $135 - $922 1%
Pace Southeast $135 - $843 1%
Pace-Trinity Health $135 - $2,608 1%
Peak Pace Solutions $135 - $843 1%
Perennial Advantage $135 - $843 1%
Preferred Care Partners $135 - $843 1%
Presbyterian Senior Plan $135 - $843 1%
Provider Partners Health Plan Of Illinois $135 - $843 1%
Provider Partners Health Plan Of Indiana $135 - $843 1%
Pruitthealth Premier $135 - $843 1%
Reliance Community Care Partners Care Resources Pace $135 - $843 1%
Rx Allwin $135 - $843 1%
Rx Grane Grnmedd $135 - $843 1%
Rx Retiree Rx Care $135 - $843 1%
Scan Health Plan Mcr Ipa Meritage Oon $135 - $843 1%
Secure Horizons Ma Pffs $135 - $843 1%
Serenity Pace $135 - $843 1%
Siouxland Pace $135 - $843 1%
Solis Health Plans $135 - $843 1%
Sunnyview-Pace Finance Dept $135 - $843 1%
Texan Plus $135 - $843 1%
The Health Plan $135 - $843 1%
Thome Pace $135 - $843 1%
Todays Options $135 - $843 1%
Tribute Health Plans $135 - $843 1%
Um Health Advantage $135 - $843 1%
Union Health Service $135 - $843 1%
Welbe Health $135 - $843 1%
Wellmed $135 - $843 1%
Veterans Administration $138 - $860 1%
Blue Shield - De (Highmark) Medciare Advantage $142 - $14,075 1%
Champva $145 - $903 1%
Tricare $145 - $903 1%
Triwest Health Alliance $145 - $903 1%
Us Family Health Plan $145 - $903 1%
Veterans Eval Services $145 - $903 1%
Albany County Correctional Facility $148 - $922 1%
Amish Mennonite $148 - $922 1%
Ascension St. Vincent Public Safety Medical $148 - $922 1%
Bcccp-Michigan $148 - $922 1%
Bccp $148 - $922 1%
Bmc Healthnet $148 - $922 1%
Breast Grant-Connecticut $148 - $922 1%
Broward County Dept Of Health $148 - $922 1%
California Health And Wellness $148 - $922 1%
Cardinal Innovations Lme $148 - $922 1%
Care Connections Of Northern Iowa $148 - $922 1%
Care Oregon Ohp $148 - $922 1%
Cencal Health Plan $148 - $922 1%
Cenpatico $148 - $922 1%
Chhuny $148 - $922 1%
Childrens Comm Health Plan $148 - $922 1%
Childrens Medical Services Title 19 $148 - $922 1%
City Of Philadelphia $148 - $922 1%
Cmh Allegan County $148 - $922 1%
Cmh Ausable Valley $148 - $922 1%
Cmh Barry County $148 - $922 1%
Cmh Bay-Arenac County $148 - $922 1%
Cmh Berrien County $148 - $922 1%
Cmh Cass County $148 - $922 1%
Cmh Central Mi County $148 - $922 1%
Cmh Clinton-Eaton-Ingham County $148 - $922 1%
Cmh Detroit Wayne Integrated Health Network $148 - $922 1%
Cmh Genesee County $148 - $922 1%
Cmh Ionia County $148 - $922 1%
Cmh Jackson County/Lifeways $148 - $922 1%
Cmh Kalamazoo $148 - $922 1%
Cmh Kent County $148 - $922 1%
Cmh Lenawee County $148 - $922 1%
Cmh Livingston County $148 - $922 1%
Cmh Macomb $148 - $922 1%
Cmh Misc $148 - $922 1%
Cmh Monroe County $148 - $922 1%
Cmh Montcalm County $148 - $922 1%
Cmh Muskegon County $148 - $922 1%
Cmh Newaygo County $148 - $922 1%
Cmh North Country $148 - $922 1%
Cmh Northern Lakes County $148 - $922 1%
Cmh Oakland County $148 - $922 1%
Cmh Ottawa County $148 - $922 1%
Cmh Van Buren County $148 - $922 1%
Cmh Washtenaw County $148 - $922 1%
Cmh Wayne County/Carelink $148 - $922 1%
Cmh Wayne Cty/Com Liv Svcs $148 - $922 1%
Cmh West Mi County $148 - $922 1%
Community Benefit Health $148 - $922 1%
Community Care Behavorial Health $148 - $922 1%
Community Care Partners $148 - $922 1%
Community Health Choice $148 - $922 1%
Connections Csp $148 - $922 1%
County Coroner $148 - $922 1%
County Funding Generic $148 - $922 1%
Covid19 Hrsa Uninsured Testing And Treatment Fund $148 - $922 1%
Dean Wi Badgercare $148 - $922 1%
Delaware County Department Of Health $148 - $922 1%
Delta Dental Nj $148 - $922 1%
Dph Tb Program $148 - $922 1%
Dscc $148 - $922 1%
Eastpointe Lme $148 - $922 1%
Family Health Network $148 - $922 1%
Freedom First Healthcare $148 - $922 1%
Fresno County Ccs $148 - $922 1%
Ghc Scw Wi Badgercare $148 - $922 1%
Harbor Health $148 - $922 1%
Health Safety Net $148 - $922 1%
Healthy Blue Ne $148 - $922 1%
Hennepin Health $148 - $922 1%
Id County Ada $148 - $922 1%
Id County Canyon $148 - $922 1%
Id County Cat Fund $148 - $922 1%
Id County Other $148 - $922 1%
Id County Payette $148 - $922 1%
Idaho Dept Health And Wellfare $148 - $922 1%
Idaho Womens Health Check $148 - $922 1%
Indiana Breast Cervical Cancer $148 - $922 1%
Inland Empire Health Plan $148 - $922 1%
Intercommunity Health Ohp $148 - $922 1%
Iowa Total Care $148 - $922 1%
Jai Medical System $148 - $922 1%
Kern Family Health Plan $148 - $922 1%
Keystone First $148 - $922 1%
Keystone First Chip $148 - $922 1%
La Care Health Plan $148 - $922 1%
Lakeland Care Inc $148 - $922 1%
Managed Health Services - Indiana $148 - $922 1%
Maryland Breast & Cervical Program $148 - $922 1%
Maryland Healthy Smiles - Scion Dental $148 - $922 1%
Maryland Physicians Care $148 - $922 1%
Massachusetts Behavioral Health Partnership $148 - $922 1%
Mdwise $148 - $922 1%
Medi-Cal $148 - $922 1%
Medi-Cal Healthnet $148 - $922 1%
Medicaid / KanCare $148 - $2,825 1%
Medstar Dc Healthy Family $148 - $922 1%
Medstar Md Health Choice $148 - $922 1%
Mo Home State Health Plan $148 - $922 1%
Molina Centennial Care $148 - $922 1%
Nascentia Health Options $148 - $922 1%
Nebraska Total Care $148 - $922 1%
New York Cancer Services Program $148 - $922 1%
Nextlevel Health $148 - $922 1%
Oregon Screenwise $148 - $922 1%
Paramount Advantage $148 - $922 1%
Parkland Community Health Plan $148 - $922 1%
Partners Behavioral Lme $148 - $922 1%
Peach State Healthplan $148 - $922 1%
Philadelphia County Funding $148 - $922 1%
Presbyterian Centennial Care $148 - $922 1%
Prestige Health Choice $148 - $922 1%
Priority Partners $148 - $922 1%
Robert F Sing Program $148 - $922 1%
Rx 340B Pass Along $148 - $922 1%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $148 - $922 1%
Rx Medi-Cal $148 - $922 1%
Rx Meridian Rx $148 - $922 1%
Ryan White Florida Mssrp $148 - $922 1%
Sandhills Center Lme $148 - $922 1%
Screening For Life $148 - $922 1%
St Joseph County Hlth Dpt $148 - $922 1%
Stephenson Cty Health $148 - $922 1%
Sunshine State Health Plan $148 - $922 1%
Superior Health $148 - $922 1%
Tenncare $148 - $922 1%
Texas Children'S Health Plan $148 - $922 1%
Trillium Community Ohp $148 - $922 1%
Tufts Health Public Plans $148 - $922 1%
Vaya Health Lme $148 - $922 1%
Washtenaw Health Plan $148 - $922 1%
Wellsense Health Plan $148 - $922 1%
Wi Womens Wellness $148 - $922 1%
Bcn Domestic $167 - $1,041 1%
Blue Benefit Administrators Of Massachusetts $167 - $8,391 1%
Blue Care Network $167 - $8,391 1%
Blue Distinction Transplant $167 - $8,391 1%
Blue Shield - Ca $167 - $8,391 1%
Blue Shield - Id (Regence) $167 - $8,391 1%
Blue Shield - Ny Highmark Northeastern $167 - $8,391 1%
Blue Shield - Ny Highmark Western $167 - $8,391 1%
Blue Shield - Pa (Highmark) $167 - $8,391 1%
Blue Shield - Wa (Regence) $167 - $8,391 1%
Health Choices $167 - $1,041 1%
Kaiser Domestic $167 - $1,041 1%
Pre-Employment $167 - $1,041 1%
Wc Domestic $167 - $1,041 1%
Coventry $196 - $16,398 1%
Meritain $196 - $2,163 1%
Andrie Inc $301 - $2,822 2%
East Greenbush Central School District $301 - $2,822 2%
Genex Wc $301 - $2,822 2%
Healthsmart Workers Comp $301 - $2,822 2%
Jag Source $301 - $2,822 2%
New York State Insurance Fund $301 - $2,822 2%
Njm Insurance Group $301 - $2,822 2%
Rx Heatlhcomp $301 - $2,822 2%
Rx Restat $301 - $2,822 2%
Rx Saif Opdp Wc $301 - $2,822 2%
Rx Worker'S Comp $301 - $2,822 2%
Wc Accident Fund $301 - $2,822 2%
Wc Ace $301 - $2,822 2%
Wc Acs Federal Employees $301 - $2,822 2%
Wc Acuity $301 - $2,822 2%
Wc Advantage $301 - $2,822 2%
Wc Aegis $301 - $2,822 2%
Wc Aig $301 - $2,822 2%
Wc Aims $301 - $2,822 2%
Wc Alaska National Ins $301 - $2,822 2%
Wc Align Network $301 - $2,822 2%
Wc Allied $301 - $2,822 2%
Wc Am Trust N America $301 - $2,822 2%
Wc American Claims Mgmt $301 - $2,822 2%
Wc Amerisure $301 - $2,822 2%
Wc Amtrust $301 - $2,822 2%
Wc Asu Risk Mgt $301 - $2,822 2%
Wc Benetech $301 - $2,822 2%
Wc Berkley Admin $301 - $2,822 2%
Wc Broadspire $301 - $2,822 2%
Wc Broward County $301 - $2,822 2%
Wc Bunch & Associates $301 - $2,822 2%
Wc California State Comp Ins $301 - $2,822 2%
Wc California State Ins Fund $301 - $2,822 2%
Wc Capitol Area Health Consortium $301 - $2,822 2%
Wc Ccmsi $301 - $2,822 2%
Wc Chartis $301 - $2,822 2%
Wc Chubb $301 - $2,822 2%
Wc Cirma $301 - $2,822 2%
Wc City Of Albany $301 - $2,822 2%
Wc City Of Sioux City $301 - $2,822 2%
Wc Claims Mgmt Inc $301 - $2,822 2%
Wc Cna $301 - $2,822 2%
Wc Comp One Admin C/O Manageability $301 - $2,822 2%
Wc Compone Admin $301 - $2,822 2%
Wc Ct Healthcare Trust $301 - $2,822 2%
Wc Donegal Insurance Group $301 - $2,822 2%
Wc Emc Insurance Company $301 - $2,822 2%
Wc Employee Mutual $301 - $2,822 2%
Wc Enablecomp $301 - $2,822 2%
Wc Encore Health Network $301 - $2,822 2%
Wc Erie $301 - $2,822 2%
Wc Esis $301 - $2,822 2%
Wc Evolutions $301 - $2,822 2%
Wc Fcci $301 - $2,822 2%
Wc Fed Ex $301 - $2,822 2%
Wc Federal Black Lung $301 - $2,822 2%
Wc Federated $301 - $2,822 2%
Wc Finley Occupational Health $301 - $2,822 2%
Wc First Agency/Occunet $301 - $2,822 2%
Wc Ford Motor $301 - $2,822 2%
Wc Fresno Unified Emp $301 - $2,822 2%
Wc Gallagher Bassett $301 - $2,822 2%
Wc General Motors $301 - $2,822 2%
Wc Generic $301 - $2,822 2%
Wc Genex Care For Ohio $301 - $2,822 2%
Wc Great West Casualty $301 - $2,822 2%
Wc Guarantee Insurance $301 - $2,822 2%
Wc Guard Insurance Company $301 - $2,822 2%
Wc Hab $301 - $2,822 2%
Wc Hartford $301 - $2,822 2%
Wc Hastings $301 - $2,822 2%
Wc Health Management $301 - $2,822 2%
Wc Heritage Summit $301 - $2,822 2%
Wc Hireright $301 - $2,822 2%
Wc Horizon $301 - $2,822 2%
Wc Icw Group $301 - $2,822 2%
Wc Idaho State Ins Fund $301 - $2,822 2%
Wc Intercare Insurance $301 - $2,822 2%
Wc Intermountain $301 - $2,822 2%
Wc Johns Eastern $301 - $2,822 2%
Wc Kemberton $301 - $2,822 2%
Wc Key Ins & Benefit Solutions $301 - $2,822 2%
Wc Liberty Mutual $301 - $2,822 2%
Wc Mac Risk Management $301 - $2,822 2%
Wc Massachusetts $301 - $2,822 2%
Wc Mdia $301 - $2,822 2%
Wc Meadowbrook Claim $301 - $2,822 2%
Wc Medical Administrators $301 - $2,822 2%
Wc Meijers $301 - $2,822 2%
Wc Memic $301 - $2,822 2%
Wc Mercy Workcare $301 - $2,822 2%
Wc Michigan $301 - $2,822 2%
Wc Michigan Millers Mutual $301 - $2,822 2%
Wc Mitchell Frankenmuth $301 - $2,822 2%
Wc Mra $301 - $2,822 2%
Wc Nationwide $301 - $2,822 2%
Wc Nca Comp $301 - $2,822 2%
Wc New York $301 - $2,822 2%
Wc New York Special Funds $301 - $2,822 2%
Wc North American Rishces $301 - $2,822 2%
Wc Northeast Health $301 - $2,822 2%
Wc Notre Dame $301 - $2,822 2%
Wc Novanet $301 - $2,822 2%
Wc O'Hara Corp $301 - $2,822 2%
Wc Occ Health Allen $301 - $2,822 2%
Wc Ohio Bureau $301 - $2,822 2%
Wc One Call Medical $301 - $2,822 2%
Wc Paradigm $301 - $2,822 2%
Wc Peerless $301 - $2,822 2%
Wc Pma $301 - $2,822 2%
Wc Praxis Health Network $301 - $2,822 2%
Wc Price Chopper $301 - $2,822 2%
Wc Procura Management $301 - $2,822 2%
Wc Qualcare $301 - $2,822 2%
Wc Quiktrip $301 - $2,822 2%
Wc Reny Company $301 - $2,822 2%
Wc Rev Claims $301 - $2,822 2%
Wc Risico $301 - $2,822 2%
Wc Rural Mutual $301 - $2,822 2%
Wc Saif Oregon $301 - $2,822 2%
Wc Secura $301 - $2,822 2%
Wc Sedgwick $301 - $2,822 2%
Wc Sentry $301 - $2,822 2%
Wc Sheakley Unicomp $301 - $2,822 2%
Wc Smile Lodge $301 - $2,822 2%
Wc Society $301 - $2,822 2%
Wc Srs $301 - $2,822 2%
Wc Taconic (Mro) $301 - $2,822 2%
Wc Taconic Farms $301 - $2,822 2%
Wc Travelers $301 - $2,822 2%
Wc Triad Group $301 - $2,822 2%
Wc Tristar $301 - $2,822 2%
Wc Troy Ny $301 - $2,822 2%
Wc Tyson $301 - $2,822 2%
Wc Unified Health Services $301 - $2,822 2%
Wc United Heartland $301 - $2,822 2%
Wc Us Dept Of Labor $301 - $2,822 2%
Wc Velocity $301 - $2,822 2%
Wc Walmart $301 - $2,822 2%
Wc West Bend $301 - $2,822 2%
Wc West Bend Mutual/Argent $301 - $2,822 2%
Wc Winnebago Industries $301 - $2,822 2%
Wc Yankee Trails $301 - $2,822 2%
Wc York Risk $301 - $2,822 2%
Wc Zenith $301 - $2,822 2%
Wc Zurich $301 - $2,822 2%
Allied National Global Care $348 - $4,802 3%
Asrm - Reliance Standard Life Insurance $348 - $4,802 3%
Christian Care Ministry $348 - $4,802 3%
Dean Health $348 - $4,802 3%
Devon Health Services $348 - $4,802 3%
Fallon Health $348 - $4,802 3%
Family Life Insurance Company $348 - $4,802 3%
Ghc Scw $348 - $4,802 3%
International Benefit Administrators $348 - $4,802 3%
Lifetime Benefit Solutions $348 - $4,802 3%
Manhattan Life $348 - $4,802 3%
Medi Share $348 - $4,802 3%
Multiplan $348 - $4,802 3%
Pai $348 - $4,802 3%
Pan-American Life $348 - $4,802 3%
Paramount Hmo $348 - $4,802 3%
Phcs $348 - $4,802 3%
Trinity Health Share $348 - $4,802 3%
Vitalcore $369 - $5,085 3%
Galaxy Health Network $389 - $5,368 3%
Prime Health Services $389 - $5,368 3%
Three Rivers Provider Network $389 - $5,368 3%
Wc Corvel $389 - $5,368 3%
Saint Francis Life $2,608 20%
Amerihealth $10,880 83%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals