CMS Price Transparency Data
Total hip replacement
Facility: Falmouth Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$17,559
about 1.3× the $13,117 Medicare rate · typically $10,531–$21,408
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $17,559 Cash price $5,377 Hospital's list price $12,651
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $15,541 | 118% |
| Blue Cross Blue Shieldmajor | $16,459 | 125% |
| Harvard Pilgrim | $20,211 | 154% |
| UniCare | $870 | 7% |
| WellSense | $40,127 | 306% |
| + 3 smaller / regional plans | $15,311 - $37,053 |
Self-Pay How to get the cash price
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Other Procedures at Falmouth Hospital
Compare: Total hip replacement at other MA hospitals
- Emerson Hospital - · W Concord $13,117
- Beth Israel Deaconess Hospital - Milton · Milton $13,231
- Milford Regional Medical Center · Milford $13,758
- Heywood Hospital - · Gardner $15,240
- UMass Memorial Healthalliance Hospitals · Leominster $15,577
- Signature Healthcare Brockton Hospital · Brockton $15,693
- Winchester Hospital · Winchester $15,725
- Massachusetts General Hospital · Boston $16,036
Insurance negotiated median for the same procedure, sorted lowest first.