CMS Price Transparency Data
Total hip replacement
Facility: Ellis Hospital
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$7,433
about 0.6× the $13,117 Medicare rate · typically $2,034–$16,094
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $7,433 Cash price $2,221 Hospital's list price $4,441
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $3,553 | 27% |
| Blue Cross Blue Shieldmajor | $16,745 | 128% |
| Aetnamajor | $3,686 - $3,775 | 28% |
| CDPHP | $8,775 - $17,543 | 67% |
| MVP Health Care | $10,500 | 80% |
| + 6 smaller / regional plans | $2,220 - $32,374 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Ellis 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.