CMS Price Transparency Data

Total hip replacement

Facility: Pinnacle Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14,446
about 1.1× the $13,117 Medicare rate · typically $4,937–$22,841
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,516
Below the fair price — a good deal
about $6,930 under the fair price · 0.6× Medicare
Medicare pays $13,117 Fair price $14,446 This hospital $7,516 Hospital's list price $87,779

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

One of the lower prices — 7 of 8 other IN hospitals charge more for the same procedure.

Cheapest $2,968 Priciest $13,583

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

A fair price for a Total hip replacement is about $14,446 (about 1.1× the $13,117 Medicare rate). Pinnacle Hospital charges insurers about $7,516 — below the fair price — a good deal. Located in Crown Point, IN.

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✓ Cigna HumanaKaiser 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 $6,540 - $13,117 50%
Blue Cross Blue Shieldmajor $7,516 - $13,117 57%
Aetnamajor $1,494 - $13,117 11%
Cignamajor $798 6%
CareSource $22,823 174%

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Facility Profile & Credentials

  • Address: 9301 Connecticut Dr, Crown Point, IN 46307
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals