CMS Price Transparency Data

Total hip replacement

Facility: Monmouth Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15,653
about 1.2× the $13,117 Medicare rate · typically $10,989–$21,331
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,236
Above the fair price
about $4,583 over the fair price · 1.5× Medicare
Medicare pays $13,117 Fair price $15,653 This hospital $20,236 Cash price $5,419

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 $20,236

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 $15,653 (about 1.2× the $13,117 Medicare rate). Monmouth Medical Center charges insurers about $20,236, or about $5,419 in cash — above the fair price. Located in Long Branch, 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 $15,653. 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.

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 $14,343 - $26,500 109%
Blue Cross Blue Shieldmajor $3,266 - $14,242 25%
Aetnamajor $14,242 - $26,990 109%
Cignamajor $15,926 - $21,314 121%
Humanamajor $14,242 109%
AmeriHealth $21,408 - $24,083 163%
Clover Health $14,242 109%
Fidelis Care $14,242 109%
WellCare $28,341 216%
+ 2 smaller / regional plans $2,699 - $24,923

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: 300 Second Avenue, Long Branch, NJ 07740
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals