CMS Price Transparency Data

Total hip replacement

Facility: Trinity Health Oakland Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,635
about 0.3× the $13,117 Medicare rate · typically $1,498–$8,889
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,811
Well above the fair price
about $15,176 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $3,635 This hospital $18,811 Cash price $41,062

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $2,278 Priciest $18,811

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 $3,635 (about 0.3× 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 $3,635. 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana

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
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals