CMS Price Transparency Data
Total hip replacement
Facility: Munson Healthcare Otsego Memorial Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,405
about 0.3× the $13,117 Medicare rate · typically $1,484–$6,342
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,405
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 | $829 - $6,690 | 6% |
| Blue Cross Blue Shieldmajor | $416 - $6,690 | 3% |
| Aetnamajor | $1,157 | 9% |
| Cignamajor | $2,072 - $23,183 | 16% |
| Humanamajor | $1,145 | 9% |
| Meridian | $829 - $6,690 | 6% |
| Molina | $829 - $6,690 | 6% |
| Priority Health | $829 - $23,183 | 6% |
| + 7 smaller / regional plans | $829 - $6,690 |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Munson Healthcare Otsego Memorial Hospital
Compare: Total hip replacement at other MI hospitals
- Covenant Medical Center · Saginaw $2,278
- Sparrow Ionia Hospital · Ionia $2,278
- Beaumont Hospital - Grosse Pointe · Grosse Pointe $2,897
- Henry Ford Health Warren Hospital · Warren $2,937
- Ascension River District Hospital · East China $2,937
- Beaumont Hospital, Troy · Troy $3,267
- Ascension Genesys Hospital · Grand Blanc $11,315
- Straith Hospital for Special Surgery · Southfield $11,513
Insurance negotiated median for the same procedure, sorted lowest first.