CMS Price Transparency Data

Total hip replacement

Facility: St Luke's Warren Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16,168
about 1.2× the $13,117 Medicare rate · typically $9,571–$20,199
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,720
Above the fair price
about $2,552 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $16,168 This hospital $18,720

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 $18,720

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 $16,168 (about 1.2× the $13,117 Medicare rate). St Luke's Warren Hospital charges insurers about $18,720 — above the fair price. Located in Phillipsburg, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,168. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $14,169 108%
Blue Cross Blue Shieldmajor $14,169 - $56,133 108%
Aetnamajor $14,453 110%
Humanamajor $14,736 112%
Geisinger $14,453 110%
UPMC Health Plan $14,878 113%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals