CMS Price Transparency Data
Total hip replacement
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$476
about 0.0× the $13,117 Medicare rate · typically $410–$1,751
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $476 Cash price $1,016 Hospital's list price $1,882
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $132 - $2,176 | 1% |
| Blue Cross Blue Shieldmajor | $131 - $2,053 | 1% |
| Aetnamajor | $132 - $2,496 | 1% |
| Cignamajor | $132 - $1,595 | 1% |
| Humanamajor | $132 - $4,440 | 1% |
| Kaiser Permanentemajor | $131 - $1,968 | 1% |
| Ambetter (Centene) | $161 - $1,508 | 1% |
| Clover Health | $132 - $823 | 1% |
| Dean Health Plan | $246 - $2,714 | 2% |
| GEHA | $197 - $2,176 | 2% |
| Health Net | $161 - $2,496 | 1% |
| HealthPartners | $161 - $1,508 | 1% |
| Meridian | $132 - $1,508 | 1% |
| Moda Health | $153 - $2,289 | 1% |
| Molina | $126 - $1,638 | 1% |
| PacificSource | $180 - $2,222 | 1% |
| Paramount | $161 - $2,714 | 1% |
| Presbyterian | $132 - $1,508 | 1% |
| SelectHealth | $153 - $2,308 | 1% |
| Tufts Health Plan | $161 - $1,508 | 1% |
| WellMed | $132 - $823 | 1% |
| WellSense | $161 - $1,508 | 1% |
| + 351 smaller / regional plans | $131 - $2,714 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Total hip replacement at other OR hospitals
- Bay Area Hospital · Coos Bay $2,885
- Curry General Hospital · Gold Beach $3,815
- Kaiser Sunnyside Medical Center · Clackamas $11,104
- Kaiser Foundation Hospital Westside · Hillsboro $11,104
- Willamette Valley Medical Center · McMinnville $13,938
- Providence Newberg Medical Center · Newberg $15,341
- Mercy Medical Center · Roseburg $21,276
- Providence St Vincent Medical Center · Portland $26,189
Insurance negotiated median for the same procedure, sorted lowest first.