CMS Price Transparency Data

Total hip replacement

Facility: Temple University Hospital

Billing Code: 27130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 27130
  • Insurance Median: $14,034
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Total hip replacement at Temple University Hospital is $14,034. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 1.07x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,034

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)
Insurance Median: $14,034 (107%)
Ins. Median: $14,034 (107% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Health Partners Plans $1,670 - $13,764 13%
Blue Cross Blue Shield $4,889 - $42,996 37%
UnitedHealthcare $6,368 - $13,495 49%
Aetna $7,197 - $14,574 55%
Geisinger $10,355 - $14,844 79%
Keystone First $13,199 - $14,169 101%
Humana $13,495 103%
Innovage $13,764 105%
Cigna $14,169 - $17,801 108%
Clover Health $14,304 109%
Upmc Health Plan $14,439 110%
Pennsylvania Health And Wellness $14,844 113%
Elder Health $16,193 123%
Gateway Health Plan $16,868 129%
Wtc Health Program $16,868 129%
Naphcare $20,242 154%
Oscar Health $20,242 154%
Prime Health Services $21,481 164%
Occunet $22,266 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals