CMS Price Transparency Data

Total hip replacement

Facility: Mainehealth Maine Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,302
about 0.2× the $13,117 Medicare rate · typically $1,685–$4,464
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,482
About the fair price
about $180 over the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $2,302 This hospital $2,482

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 3 of 6 other ME hospitals charge more for the same procedure.

Cheapest $2,331 Priciest $13,596

Black dot = this hospital, among the 7 ME hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $2,302 (about 0.2× the $13,117 Medicare rate). Mainehealth Maine Medical Center charges insurers about $2,482 — about the fair price. Located in Portland, ME.

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✓ Humana CignaKaiser 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 $1,221 - $12,453 9%
Blue Cross Blue Shieldmajor $1,233 - $56,563 9%
Aetnamajor $1,231 - $12,453 9%
Humanamajor $1,404 - $12,453 11%
Harvard Pilgrim $2,482 19%
WellCare $1,404 - $12,827 11%
+ 1 smaller / regional plan $2,618 - $2,639
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: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals