CMS Price Transparency Data

Total hip replacement

Facility: Cary Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,009
about 0.5× the $13,117 Medicare rate · typically $2,275–$12,779
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,695
Well above the fair price
about $6,686 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $6,009 This hospital $12,695

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 5 of 6 other ME hospitals charge less.

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 $6,009 (about 0.5× the $13,117 Medicare rate). Cary Medical Center charges insurers about $12,695 — well above the fair price. Located in Caribou, ME.

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 $6,009. 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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $12,695 97%
Aetnamajor $12,695 97%
Humanamajor $12,695 97%
WellCare $12,695 97%
+ 1 smaller / regional plan $12,695
Government programs also on file: Military & VA.

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: 163 Van Buren Rd, Suite 1, Caribou, ME 04736
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals