CMS Price Transparency Data
Total hip replacement
Facility: Penobscot Valley Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,217
about 0.1× the $13,117 Medicare rate · typically $1,217–$2,644
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,217 Cash price $3,250 Hospital's list price $4,062
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $195 - $2,045 | 1% |
| Blue Cross Blue Shieldmajor | $201 - $1,697 | 2% |
| Aetnamajor | $199 - $4,177 | 2% |
| Cignamajor | $1,206 - $4,090 | 9% |
| Humanamajor | $195 - $1,229 | 1% |
| Harvard Pilgrim | $1,225 - $4,155 | 9% |
| WellCare | $171 - $1,069 | 1% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Penobscot Valley Hospital
Compare: Total hip replacement at other ME hospitals
- Mainehealth Franklin Hospital · Farmington $2,331
- Mainehealth Maine Medical Center · Portland $2,482
- Mainehealth Mid Coast Hospital · Brunswick $2,482
- Mainehealth Pen Bay Hospital · Rockport $2,482
- Redington Fairview General Hospital · Skowhegan $6,282
- Cary Medical Center · Caribou $12,695
- Northern Maine Medical Center · Fort Kent $13,596
Insurance negotiated median for the same procedure, sorted lowest first.