CMS Price Transparency Data
Total hip replacement
Facility: Metrowest Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$12,797
about 1.0× the $13,117 Medicare rate · typically $3,784–$20,414
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $12,797
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
✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $13,594 | 104% |
| Cignamajor | $12,252 - $13,614 | 93% |
| Health Net | $1,420 | 11% |
| + 1 smaller / regional plan | $1,420 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Metrowest Medical Center
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.