CMS Price Transparency Data

Total hip replacement

Facility: New England Baptist Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15,371
about 1.2× the $13,117 Medicare rate · typically $6,475–$19,364
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,359
Above the fair price
about $7,988 over the fair price · 1.8× Medicare
Medicare pays $13,117 Fair price $15,371 This hospital $23,359

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $13,117 Priciest $23,359

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

A fair price for a Total hip replacement is about $15,371 (about 1.2× the $13,117 Medicare rate). New England Baptist Hospital charges insurers about $23,359 — above the fair price. Located in Boston, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $15,371. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna AetnaHumanaKaiser 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 $20,362 155%
Blue Cross Blue Shieldmajor $26,170 - $27,003 200%
Cignamajor $20,684 158%
Harvard Pilgrim $26,035 198%
UniCare $16,793 128%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 125 Parker Hill Avenue, Boston, MA 02120
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals