CMS Price Transparency Data

Total hip replacement

Facility: Suny/Stony Brook University Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$12,764
about 1.0× the $13,117 Medicare rate · typically $4,649–$19,751
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,948
Above the fair price
about $3,184 over the fair price · 1.2× Medicare
Medicare pays $13,117 Fair price $12,764 This hospital $15,948 Cash price $16,989 Hospital's list price $16,989

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $2,702 Priciest $15,948

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 $12,764 (about 1.0× the $13,117 Medicare rate). Suny/Stony Brook University Hospital charges insurers about $15,948, or about $16,989 in cash — above the fair price. Located in Stony Brook, 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 $12,764. 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.

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 $4,255 - $31,896 32%
Blue Cross Blue Shieldmajor $10,521 - $15,948 80%
Aetnamajor $5,417 - $16,267 41%
EmblemHealth $16,267 - $39,918 124%
Fidelis Care $15,948 122%
+ 6 smaller / regional plans $5,562 - $20,732
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: Health Sciences Center SUNY, Stony Brook, NY 11794
  • CMS Rating: ★★★★★
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals