Total hip replacement
Facility: Cleveland Clinic Martin North Hospital
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $5,958 compared to the $8,292 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.72× fair market pricing.
A typical price — 4 charge more and 4 charge less, among the 9 FL hospitals compared.
Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.
A fair price for a Total hip replacement is about $8,292 (about 0.6× the $13,117 Medicare rate). Cleveland Clinic Martin North Hospital charges insurers about $5,958, or about $5,606 in cash — below the fair price — a good deal. Located in Stuart, FL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $1,283 - $28,910 | 10% |
| Blue Cross Blue Shieldmajor | $1,137 - $12,915 | 9% |
| Aetnamajor | $1,591 - $13,407 | 12% |
| Cignamajor | $8,624 | 66% |
| Humanamajor | $12,915 | 98% |
| AmeriHealth | $1,024 - $6,137 | 8% |
| AvMed | $1,283 - $49,725 | 10% |
| Devoted Health | $14,748 | 112% |
| Molina | $1,044 - $6,256 | 8% |
| WellCare | $13,407 | 102% |
| + 10 smaller / regional plans | $994 - $13,561 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Cleveland Clinic Martin North Hospital
Compare: Total hip replacement at other FL hospitals
- Doctors Memorial Hospital Inc · Perry $2,341
- Cleveland Clinic Indian River Hospital · Vero Beach $2,627
- Palm Beach Gardens Medical Center · Palm Beach Gardens $2,709
- Cleveland Clinic Hospital · Weston $2,860
- Jay Hospital · Jay $6,356
- Baptist Medical Center - Nassau · Fernandina Beach $7,090
- Baptist Medical Center Beaches · Jacksonville Beach $7,150
- HCA Florida Lehigh Hospital · Lehigh Acres $9,559
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cleveland Clinic Martin North Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,131
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $3,131).
Self-Pay Cash Rate ($5,606) Beats Your Bill
Cleveland Clinic Martin North Hospital's published 45 CFR § 180 self-pay cash rate is $5,606 (vs. $5,958 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,292 Fair BaseRate ($13,117 Medicare)
Your bill ($8,624) is $332 above the denoised Fair BaseRate ($8,292) and 0.7× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.