CMS Price Transparency Data

Total hip replacement

Facility: Penn State Health St. Joseph

Billing Code: 27130 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$11,593
about 0.9× the $13,117 Medicare rate · typically $1,359–$12,741
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,058
About the fair price
about $1,465 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $11,593 This hospital $13,058 Cash price $21,753 Hospital's list price $83,634

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 $13,058

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 $11,593 (about 0.9× the $13,117 Medicare rate). Penn State Health St. Joseph charges insurers about $13,058, or about $21,753 in cash — about the fair price. Located in Reading, 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 $13,058 - $56,620 100%
Blue Cross Blue Shieldmajor $11,099 - $70,970 85%
Aetnamajor $13,188 - $42,717 101%
Cignamajor $51,309 391%
Humanamajor $13,188 101%
AmeriHealth $11,099 - $13,058 85%
Cigna HealthSpring $13,188 101%
Geisinger $11,752 - $60,334 90%
HealthPartners $12,144 - $13,319 93%
UPMC Health Plan $13,319 - $61,789 102%
+ 3 smaller / regional plans $12,209 - $41,566
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2500 Bernville Road, Reading, PA 19605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals