CMS Price Transparency Data

Total hip replacement

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,374
about 0.6× the $13,117 Medicare rate · typically $3,965–$11,591
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,882
Below the fair price — a good deal
about $3,492 under the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $8,374 This hospital $4,882

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $2,568 Priciest $6,696

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

A fair price for a Total hip replacement is about $8,374 (about 0.6× the $13,117 Medicare rate). Schuylkill Medical Center - South Jackson Street charges insurers about $4,882 — below the fair price — a good deal. Located in Pottsville, PA.

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 $916 - $13,217 7%
Blue Cross Blue Shieldmajor $986 - $40,184 8%
Aetnamajor $885 - $70,482 7%
Cignamajor $1,623 - $13,090 12%
Humanamajor $1,671 - $13,471 13%
Ambetter (Centene) $4,780 - $38,545 36%
AmeriHealth $892 - $13,090 7%
Devoted Health $1,671 - $13,471 13%
Geisinger $923 - $30,928 7%
HealthPartners $1,048 - $25,417 8%
UPMC Health Plan $1,277 - $61,891 10%
+ 5 smaller / regional plans $1,048 - $74,110

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Facility Profile & Credentials

  • Address: 420 South Jackson Street, Pottsville, PA 17901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals