CMS Price Transparency Data

Total hip replacement

Facility: SSM Health Saint Louis University Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,652
about 0.5× the $13,117 Medicare rate · typically $3,764–$10,888
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,809
Below the fair price — a good deal
about $2,843 under the fair price · 0.3× Medicare
Medicare pays $13,117 Fair price $6,652 This hospital $3,809

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

One of the lower prices — 7 of 8 other MO hospitals charge more for the same procedure.

Cheapest $2,346 Priciest $12,050

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

A fair price for a Total hip replacement is about $6,652 (about 0.5× the $13,117 Medicare rate). SSM Health Saint Louis University Hospital charges insurers about $3,809 — below the fair price — a good deal. Located in Saint Louis, MO.

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 $3,809 - $8,868 29%
Blue Cross Blue Shieldmajor $1,665 - $12,602 13%
Aetnamajor $2,628 - $13,117 20%
Cignamajor $2,979 23%
Humanamajor $13,078 100%
Ambetter (Centene) $3,148 - $12,988 24%
HealthLink $11,009 - $17,361 84%
Oscar Health $15,431 118%
+ 1 smaller / regional plan $13,245

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Facility Profile & Credentials

  • Address: 1201 S Grand Blvd, Saint Louis, MO 63104
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals