CMS Price Transparency Data
Total hip replacement
Facility: Jones Memorial Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7,158
about 0.5× the $13,117 Medicare rate · typically $2,605–$10,002
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $7,158 Hospital's list price $3,465
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 | $1,151 - $17,164 | 9% |
| Blue Cross Blue Shieldmajor | $834 - $33,484 | 6% |
| Aetnamajor | $1,041 - $18,194 | 8% |
| Cignamajor | $1,612 - $26,499 | 12% |
| Humanamajor | $17,164 | 131% |
| CDPHP | $3,131 | 24% |
| Fidelis Care | $1,653 | 13% |
| Independent Health | $1,364 - $25,516 | 10% |
| MVP Health Care | $26,499 | 202% |
| UPMC Health Plan | $12,873 | 98% |
| + 2 smaller / regional plans | $17,164 - $30,381 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Jones Memorial 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.