CMS Price Transparency Data

Total hip replacement

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$15,278
about 1.2× the $13,117 Medicare rate · typically $3,598–$15,558
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,577
About the fair price
about $299 over the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $15,278 This hospital $15,577 Cash price $60,263 Hospital's list price $60,263

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $13,117 Priciest $16,036

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total hip replacement is about $15,278 (about 1.2× the $13,117 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $15,577, or about $60,263 in cash — about the fair price. Located in Leominster, MA.

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 $16,356 - $16,667 125%
Blue Cross Blue Shieldmajor $10,154 - $16,094 77%
Aetnamajor $16,356 125%
Cignamajor $15,577 - $17,738 119%
Harvard Pilgrim $10,714 - $16,356 82%
Tufts Health Plan $15,577 - $26,496 119%
+ 6 smaller / regional plans $294 - $16,667
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 60 Hospital Road, Leominster, MA 01453
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals