CMS Price Transparency Data

Total hip replacement

Facility: Community Memorial Hospital, Inc

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,882
about 0.4× the $13,117 Medicare rate · typically $3,134–$10,355
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,911
Well above the fair price
about $5,029 over the fair price · 0.8× Medicare
Medicare pays $13,117 Fair price $4,882 This hospital $9,911 Cash price $17,652 Hospital's list price $22,065

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 $9,911

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 $4,882 (about 0.4× the $13,117 Medicare rate). Community Memorial Hospital, Inc charges insurers about $9,911, or about $17,652 in cash — well above the fair price. Located in Hamilton, 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 $4,882. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $6,844 - $10,498 52%
Blue Cross Blue Shieldmajor $6,844 - $12,610 52%
Aetnamajor $9,911 - $10,834 76%
Cignamajor $10,088 77%
Humanamajor $9,911 76%
Fidelis Care $5,618 - $6,844 43%
MVP Health Care $9,894 75%
+ 6 smaller / regional plans $9,911 - $10,207
Government programs also on file: Medicare.
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals