CMS Price Transparency Data

Total hip replacement

Facility: Atrium Health Navicent the Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,691
about 0.5× the $13,117 Medicare rate · typically $2,729–$12,121
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,578
Below the fair price — a good deal
about $2,113 under the fair price · 0.3× Medicare
Medicare pays $13,117 Fair price $6,691 This hospital $4,578

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $4,455 Priciest $7,823

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $6,691 (about 0.5× the $13,117 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $4,578 — below the fair price — a good deal. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $1,217 - $12,537 9%
Blue Cross Blue Shieldmajor $1,217 - $12,537 9%
Aetnamajor $1,217 - $12,537 9%
Cignamajor $4,212 32%
Humanamajor $1,217 - $12,537 9%
Kaiser Permanentemajor $1,997 - $5,639 15%
Ambetter (Centene) $1,643 13%
Clover Health $1,242 - $12,788 9%
+ 6 smaller / regional plans $1,217 - $12,788

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Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals