CMS Price Transparency Data

Total hip replacement

Facility: Providence Portland Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16,671
about 1.3× the $13,117 Medicare rate · typically $11,073–$26,227
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,189
Above the fair price
about $9,518 over the fair price · 2.0× Medicare
Medicare pays $13,117 Fair price $16,671 This hospital $26,189

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $2,885 Priciest $26,189

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

A fair price for a Total hip replacement is about $16,671 (about 1.3× the $13,117 Medicare rate). Providence Portland Medical Center charges insurers about $26,189 — above the fair price. Located in Portland, OR.

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 $16,671. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $15,269 - $35,099 116%
Blue Cross Blue Shieldmajor $50,741 387%
Moda Health $28,541 - $77,988 218%
Molina $15,412 - $26,115 117%
Providence Health Plan $14,042 107%
+ 2 smaller / regional plans $14,271 - $15,555

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: 4805 Ne Glisan Street, Portland, OR 97213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals