CMS Price Transparency Data
Total hip replacement
Facility: Houlton Regional Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,989
about 0.2× the $13,117 Medicare rate · typically $1,473–$10,986
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $2,989 Cash price $3,059 Hospital's list price $3,220
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✓ Cigna HumanaKaiser 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 | $3,059 | 23% |
| Blue Cross Blue Shieldmajor | $1,209 - $2,714 | 9% |
| Aetnamajor | $1,267 | 10% |
| Cignamajor | $2,930 | 22% |
| WellCare | $1,254 | 10% |
| + 2 smaller / regional plans | $1,642 - $2,834 |
Government programs also on file: Military & VA.
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Other Procedures at Houlton Regional 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.