CMS Price Transparency Data

Total hip replacement

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16,108
about 1.2× the $13,117 Medicare rate · typically $10,303–$21,463
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,889
About the fair price
about $1,219 under the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $16,108 This hospital $14,889 Cash price $14,888 Hospital's list price $43,543

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $9,176 Priciest $14,889

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

A fair price for a Total hip replacement is about $16,108 (about 1.2× the $13,117 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $14,889, or about $14,888 in cash — about the fair price. Located in Denville, NJ.

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 $5,161 - $14,889 39%
Blue Cross Blue Shieldmajor $14,889 114%
Aetnamajor $14,889 - $31,565 114%
Cignamajor $23,009 175%
Humanamajor $11,911 91%
AmeriHealth $14,889 114%
Clover Health $14,889 114%
MagnaCare $5,253 40%
WellCare $14,889 - $20,100 114%
+ 4 smaller / regional plans $14,889 - $30,954
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 25 Pocono Road, Denville, NJ 07834
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals