CMS Price Transparency Data

Total hip replacement

Facility: Macneal Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13,964
about 1.1× the $13,117 Medicare rate · typically $8,887–$16,355
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,815
About the fair price
about $149 under the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $13,964 This hospital $13,815

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $2,564 Priciest $13,815

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

A fair price for a Total hip replacement is about $13,964 (about 1.1× the $13,117 Medicare rate). Macneal Hospital charges insurers about $13,815 — about the fair price. Located in Berwyn, IL.

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 $2,307 - $18,228 18%
Aetnamajor $9,279 - $13,413 71%
Cignamajor $13,815 105%
Humanamajor $13,721 - $15,156 105%
Ambetter (Centene) $16,095 123%
Meridian $9,279 - $15,425 71%
Molina $9,279 - $16,766 71%
Oscar Health $14,754 112%
WellCare $14,083 107%
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals