CMS Price Transparency Data

Total hip replacement

Facility: Lutheran Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$11,919
about 0.9× the $13,117 Medicare rate · typically $4,039–$13,634
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,928
About the fair price
about $9 over the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $11,919 This hospital $11,928

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $3,048 Priciest $11,928

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $11,919 (about 0.9× the $13,117 Medicare rate). Lutheran Hospital charges insurers about $11,928 — about the fair price. Located in Cleveland, OH.

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 $6,098 - $11,928 46%
Blue Cross Blue Shieldmajor $5,358 - $11,928 41%
Aetnamajor $11,928 91%
Cignamajor $12,286 94%
Humanamajor $11,928 91%
AmeriHealth $7,061 54%
CareSource $6,868 52%
Devoted Health $11,928 91%
Molina $6,740 51%
Paramount $6,612 50%
UniCare $12,524 95%
UPMC Health Plan $11,928 91%
+ 7 smaller / regional plans $6,740 - $13,121

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Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals