CMS Price Transparency Data
Total hip replacement
Facility: Sisters of Charity Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,398
about 0.1× the $13,117 Medicare rate · typically $1,114–$2,225
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,398 Cash price $5,463 Hospital's list price $5,463
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 | $857 - $1,476 | 7% |
| Blue Cross Blue Shieldmajor | $697 - $1,755 | 5% |
| Aetnamajor | $1,286 | 10% |
| Cignamajor | $1,224 - $1,776 | 9% |
| Humanamajor | $1,286 | 10% |
| Amerigroup | $697 | 5% |
| Fidelis Care | $1,286 - $1,469 | 10% |
| Independent Health | $697 - $1,605 | 5% |
| Molina | $1,569 | 12% |
| MVP Health Care | $1,668 | 13% |
| UPMC Health Plan | $2,204 | 17% |
| WellCare | $1,286 - $1,347 | 10% |
| + 16 smaller / regional plans | $697 - $5,203 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sisters of Charity Hospital
Compare: Total hip replacement at other NY hospitals
- Niagara Falls Memorial Medical Center · Niagara Falls $2,702
- Nassau University Medical Center · East Meadow $2,954
- Brooks-Tlc Hospital System, Inc · Dunkirk $3,327
- Arnot Ogden Medical Center · Elmira $3,804
- Metropolitan Hospital Center · New York $4,237
- Harlem Hospital Center · New York $4,254
- Jacobi Medical Center · Bronx $4,265
- South Brooklyn Health · Brooklyn $4,323
Insurance negotiated median for the same procedure, sorted lowest first.