CMS Price Transparency Data

Total hip replacement

Facility: St Joseph Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13,854
about 1.1× the $13,117 Medicare rate · typically $9,337–$17,226
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,896
About the fair price
about $42 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $13,854 This hospital $13,896

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 $13,896

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 $13,854 (about 1.1× the $13,117 Medicare rate). St Joseph Medical Center charges insurers about $13,896 — about the fair price. Located in Bloomington, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $21,651 165%
Blue Cross Blue Shieldmajor $14,033 107%
Aetnamajor $13,896 106%
+ 2 smaller / regional plans $9,051 - $13,758

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Facility Profile & Credentials

  • Address: 2200 E Washington, Bloomington, IL 61701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals