CMS Price Transparency Data

Total hip replacement

Facility: Northside Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$10,055
about 0.8× the $13,117 Medicare rate · typically $3,577–$14,155
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,202
About the fair price
about $1,147 over the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $10,055 This hospital $11,202

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $4,455 Priciest $11,202

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 $10,055 (about 0.8× the $13,117 Medicare rate). Northside Hospital charges insurers about $11,202 — about the fair price. Located in Atlanta, 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 $12,814 - $19,882 98%
Blue Cross Blue Shieldmajor $8,687 - $34,850 66%
Aetnamajor $9,008 - $30,000 69%
Cignamajor $8,162 - $11,990 62%
Humanamajor $12,942 - $13,327 99%
Kaiser Permanentemajor $2,232 - $13,199 17%
Ambetter (Centene) $6,363 - $10,234 49%
Amerigroup $8,085 - $9,085 62%
CareSource $9,357 - $18,600 71%
Clover Health $13,453 103%
Health Net $11,202 85%
Oscar Health $10,915 83%
WellCare $13,199 101%
+ 16 smaller / regional plans $4,045 - $50,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Johnson Ferry Road, Ne, Atlanta, GA 30342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals