CMS Price Transparency Data

Total hip replacement

Facility: McKenzie Health System

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,243
about 0.2× the $13,117 Medicare rate · typically $1,254–$13,261
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $2,243 Cash price $2,233 Hospital's list price $2,791

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $1,605 12%
Blue Cross Blue Shieldmajor $2,260 17%
Aetnamajor $1,709 13%
Priority Health $11,203 85%
+ 2 smaller / regional plans $1,498 - $1,898
Government programs also on file: Medicare, Medicaid.

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: 120 N Delaware Street, Sandusky, MI 48471
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals