CMS Price Transparency Data

Total hip replacement

Facility: M Health Fairview St John's Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,759
about 0.4× the $13,117 Medicare rate · typically $3,972–$7,659
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $4,759 Cash price $81 Hospital's list price $130

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.

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 $1,162 - $12,517 9%
Blue Cross Blue Shieldmajor $977 - $13,017 7%
HealthPartners $858 - $28,957 7%
Medica $913 - $13,268 7%
Sanford Health Plan $1,162 - $12,517 9%
Security Health Plan $1,162 - $12,517 9%
UCare $875 - $28,763 7%
WellCare $1,162 - $12,517 9%
+ 5 smaller / regional plans $117 - $12,959

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1575 Beam Avenue, Maplewood, MN 55109
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals