CMS Price Transparency Data

Total hip replacement

Facility: St Luke's Hospital - Grand View Campus

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$13,423

about 1.0× the $13,117 Medicare rate · typically $4,876–$17,378

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,249

About the fair price

about $174 under the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $13,423 This hospital $13,249

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $2,568 Priciest $13,249

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 $13,423 (about 1.0× the $13,117 Medicare rate). St Luke's Hospital - Grand View Campus charges insurers about $13,249 — about the fair price. Located in Sellersville, 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	$2,202 - $13,825	17%
Blue Cross Blue Shieldmajor	$12,929 - $19,406	99%
Aetnamajor	$13,121 - $29,059	100%
Cignamajor	$3,062 - $13,313	23%
Humanamajor	$13,185	101%
Devoted Health	$13,185	101%
HealthPartners	$1,873 - $13,057	14%
Oscar Health	$5,880	45%
UPMC Health Plan	$12,801 - $13,569	98%
+ 3 smaller / regional plans	$1,401 - $21,762

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27130.

Insurance Before you use insurance

Call your insurance company to confirm St Luke's Hospital - Grand View Campus is in-network.
Ask your insurer whether prior approval is required for CPT code 27130.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Luke's Hospital - Grand View Campus

Compare: Total hip replacement at other PA hospitals

Conemaugh Memorial Medical Center · Johnstown $2,568
UPMC Wellsboro · Wellsboro $2,944
Advanced Surgical Hospital · Washington $3,138
Lehigh Valley Hospital - Pocono · East Stroudsburg $4,780
Schuylkill Medical Center - South Jackson Street · Pottsville $4,882
Geisinger Jersey Shore Hospital · Jersey Shore $5,147
UPMC Kane · Kane $5,415
Lehigh Valley Hospital - Hazleton · Hazleton $6,288

Insurance negotiated median for the same procedure, sorted lowest first.