CMS Price Transparency Data

Total hip replacement

Facility: CHI St Alexius Health

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,248
about 1.1× the $13,117 Medicare rate · typically $8,474–$18,911
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,510
About the fair price
about $738 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $14,248 This hospital $13,510

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ND hospitals compared.

Cheapest $2,912 Priciest $17,556

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

A fair price for a Total hip replacement is about $14,248 (about 1.1× the $13,117 Medicare rate). CHI St Alexius Health charges insurers about $13,510 — about the fair price. Located in Bismarck, ND.

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✓ Humana AetnaCignaKaiser 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 $12,867 98%
Blue Cross Blue Shieldmajor $13,124 - $17,556 100%
Humanamajor $12,867 98%
Medica $12,867 98%
Sanford Health Plan $22,259 170%
+ 1 smaller / regional plan $13,510

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Facility Profile & Credentials

  • Address: 900 E Broadway, Bismarck, ND 58501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals