CMS Price Transparency Data

Total hip replacement

Facility: Heywood Hospital -

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$16,000
about 1.2× the $13,117 Medicare rate · typically $3,418–$16,904
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,240
About the fair price
about $760 under the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $16,000 This hospital $15,240

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 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.

A fair price for a Total hip replacement is about $16,000 (about 1.2× the $13,117 Medicare rate). Heywood Hospital - charges insurers about $15,240 — about the fair price. Located in Gardner, 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 $6,096 46%
Blue Cross Blue Shieldmajor $15,993 - $16,389 122%
Aetnamajor $2,785 - $14,364 21%
Cignamajor $1,888 14%
Tufts Health Plan $15,240 116%
+ 2 smaller / regional plans $14,364 - $21,547

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Facility Profile & Credentials

  • Address: 242 Green Street, Gardner, MA 01440
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals