CMS Price Transparency Data

Total hip replacement

Facility: Essentia Health St Mary's Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$11,562
about 0.9× the $13,117 Medicare rate · typically $4,148–$13,471
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,905
About the fair price
about $1,343 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $11,562 This hospital $12,905

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $4,072 Priciest $12,905

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $11,562 (about 0.9× the $13,117 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $12,905 — about the fair price. Located in Duluth, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $12,905 98%
Blue Cross Blue Shieldmajor $12,905 - $30,359 98%
HealthPartners $12,905 98%
Medica $12,905 98%
Sanford Health Plan $22,784 174%
Security Health Plan $12,905 98%
UCare $12,905 98%
+ 11 smaller / regional plans $12,689 - $12,905
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals