CMS Price Transparency Data
Total hip replacement
Facility: Maimonides Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$12,311
about 0.9× the $13,117 Medicare rate · typically $4,246–$19,595
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $12,311 Cash price $3,795 Hospital's list price $3,795
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 | $9,733 - $17,629 | 74% |
| Blue Cross Blue Shieldmajor | $11,319 - $11,528 | 86% |
| Aetnamajor | $16,026 | 122% |
| MagnaCare | $9,540 | 73% |
| + 7 smaller / regional plans | $6,360 - $48,720 |
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Other Procedures at Maimonides Medical Center
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.