CMS Price Transparency Data

Total hip replacement

Facility: North Hawaii Community Hospital, Inc

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$16,340
about 1.2× the $13,117 Medicare rate · typically $5,376–$21,949
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,164
About the fair price
about $176 under the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $16,340 This hospital $16,164 Cash price $20,215 Hospital's list price $28,878

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $13,188 Priciest $16,475

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

A fair price for a Total hip replacement is about $16,340 (about 1.2× the $13,117 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $16,164, or about $20,215 in cash — about the fair price. Located in Kamuela, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $1,679 - $16,164 13%
Kaiser Permanentemajor $16,164 - $45,260 123%
+ 5 smaller / regional plans $9,240 - $16,164

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Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals