CMS Price Transparency Data

Total hip replacement

Facility: Trinity Health Muskegon Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,523
about 0.5× the $13,117 Medicare rate · typically $2,945–$17,946
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,811
Well above the fair price
about $11,288 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $6,523 This hospital $17,811 Cash price $33,930

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 $17,811

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 $6,523 (about 0.5× the $13,117 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $17,811, or about $33,930 in cash — well above the fair price. Located in Muskegon, 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 $6,523. 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 $14,112 108%
Blue Cross Blue Shieldmajor $7,171 - $20,973 55%
Aetnamajor $13,427 102%
Kaiser Permanentemajor $20,973 160%
Molina $17,811 136%
Oscar Health $17,537 134%
Priority Health $9,501 - $10,629 72%
+ 12 smaller / regional plans $2,768 - $21,236
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: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals