Total hip replacement
Facility: Trinity Health Oakland Hospital
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $18,811 compared to the $3,196 fair price benchmark.
2-Star CMS clinical quality rating paired with 5.89× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Total hip replacement is about $3,196 (about 0.2× the $13,117 Medicare rate). Trinity Health Oakland Hospital charges insurers about $18,811, or about $41,062 in cash — well above the fair price. Located in Pontiac, MI.
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 $3,196. 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.
4 of 6 major insurers have a published price at this hospital
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 | $13,176 | 100% |
| Blue Cross Blue Shieldmajor | $7,171 - $23,514 | 55% |
| Aetnamajor | $12,537 | 96% |
| Kaiser Permanentemajor | $18,811 - $23,514 | 143% |
| CareSource | $3,730 | 28% |
| Molina | $16,630 | 127% |
| Priority Health | $3,046 - $6,770 | 23% |
| + 15 smaller / regional plans | $2,768 - $29,514 |
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.
Other Procedures at Trinity Health Oakland Hospital
Compare: Total hip replacement at other MI hospitals
- Covenant Medical Center · Saginaw $2,278
- Sparrow Ionia Hospital · Ionia $2,278
- Bronson Battle Creek Hospital · Battle Creek $2,332
- Bronson Methodist Hospital · Kalamazoo $2,385
- Beaumont Hospital - Farmington Hills · Farmington Hills $2,886
- Beaumont Hospital - Grosse Pointe · Grosse Pointe $2,897
- Henry Ford Health Warren Hospital · Warren $2,937
- Ascension River District Hospital · East China $2,937
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $16,388
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $16,388).
Self-Pay Cash Rate ($41,062) Beats Your Bill
Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $41,062 (vs. $18,811 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,196 Fair BaseRate ($13,117 Medicare)
Your bill ($45,146) is $41,950 above the denoised Fair BaseRate ($3,196) and 3.4× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.