CMS Price Transparency Data
Total hip replacement
Facility: McLaren Macomb
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$3,922
about 0.3× the $13,117 Medicare rate · typically $1,664–$13,344
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $3,922 Cash price $19,772 Hospital's list price $39,545
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✓ Humana CignaKaiser 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 | $1,814 | 14% |
| Blue Cross Blue Shieldmajor | $2,278 - $35,203 | 17% |
| Aetnamajor | $1,646 | 13% |
| Humanamajor | $1,145 - $12,549 | 9% |
| Priority Health | $1,872 | 14% |
| + 3 smaller / regional plans | $1,317 - $12,549 |
Government programs also on file: Medicare, Medicaid, Military & VA.
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.
Other Procedures at McLaren Macomb
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.