CMS Price Transparency Data
Total hip replacement
Facility: Mt Sinai Hospital Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$13,533
about 1.0× the $13,117 Medicare rate · typically $8,977–$15,442
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $13,533 Cash price $2,397 Hospital's list price $3,424
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,530 - $13,819 | 12% |
| Aetnamajor | $7,738 - $13,819 | 59% |
| Cignamajor | $4,232 - $14,510 | 32% |
| Humanamajor | $10,751 - $13,758 | 82% |
| Ambetter (Centene) | $3,595 - $15,134 | 27% |
| Health Net | $13,345 - $13,819 | 102% |
| HealthLink | $2,225 | 17% |
| Meridian | $13,758 | 105% |
| Molina | $14,446 - $14,510 | 110% |
| Oscar Health | $3,766 | 29% |
| + 10 smaller / regional plans | $1,370 - $15,134 |
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mt Sinai Hospital Medical Center
Compare: Total hip replacement at other IL hospitals
- Blessing Hospital · Quincy $2,564
- OSF Saint Anthony's Health Center · Alton $4,140
- Trinity Rock Island · Rock Island $4,171
- Edward Hospital · Naperville $6,678
- Northwest Community Hospital 1 · Arlington Heights $7,505
- Elmhurst Memorial Hospital · Elmhurst $8,847
- Northshore University Healthsystem - Evanston Hospital · Evanston $10,156
- Swedish Hospital · Chicago $10,880
Insurance negotiated median for the same procedure, sorted lowest first.