CMS Price Transparency Data
Total hip replacement
Facility: Hospital for Special Surgery
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$8,137
about 0.6× the $13,117 Medicare rate · typically $2,136–$22,140
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $8,137 Hospital's list price $25,575
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $1,344 - $76,712 | 10% |
| Blue Cross Blue Shieldmajor | $120 - $82,610 | 1% |
| Aetnamajor | $5,768 - $60,632 | 44% |
| Cignamajor | $6,060 - $56,740 | 46% |
| Fidelis Care | $1,008 - $1,210 | 8% |
| GEHA | $68,940 | 526% |
| Harvard Pilgrim | $76,712 | 585% |
| + 13 smaller / regional plans | $837 - $93,155 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Hospital for Special Surgery
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.