Total hip replacement
Facility: St Charles Hospital
Billing Code: 27130 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Total hip replacement is about $8,038 (about 0.6× the $13,117 Medicare rate). St Charles Hospital charges insurers about $9,285 — above the fair price. Located in Port Jefferson, NY.
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 $8,038. 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.
4 of 6 major insurers have a published price at this hospital
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 | $4,127 - $32,595 | 31% |
| Blue Cross Blue Shieldmajor | $14,922 - $32,595 | 114% |
| Aetnamajor | $15,226 | 116% |
| Humanamajor | $15,531 | 118% |
| Cigna HealthSpring | $15,226 | 116% |
| Fidelis Care | $4,127 - $15,226 | 31% |
| Independent Health | $4,127 - $15,226 | 31% |
| MVP Health Care | $4,127 - $15,226 | 31% |
| WellCare | $16,749 | 128% |
| + 21 smaller / regional plans | $2,250 - $34,259 |
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.
Other Procedures at St Charles 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.