CMS Price Transparency Data
Total hip replacement
Facility: Saint Anthony Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7,338
about 0.6× the $13,117 Medicare rate · typically $2,062–$13,338
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $7,338 Cash price $3,140 Hospital's list price $5,234
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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% |
| Humanamajor | $1,495 - $5,538 | 11% |
| + 4 smaller / regional plans | $9,598 - $48,154 |
Self-Pay How to get the cash price
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Other Procedures at Saint Anthony 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.