CMS Price Transparency Data

Total hip replacement

Facility: UPMC St Margaret

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9,637
about 0.7× the $13,117 Medicare rate · typically $3,076–$13,449
modeled estimate · not a bill or quote
What this hospital charges insurers
$10,591
About the fair price
about $954 over the fair price · 0.8× Medicare
Medicare pays $13,117 Fair price $9,637 This hospital $10,591

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 $10,591

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 $9,637 (about 0.7× the $13,117 Medicare rate). UPMC St Margaret charges insurers about $10,591 — about the fair price. Located in Pittsburgh, PA.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $2,493 - $14,867 19%
Aetnamajor $12,880 - $13,494 98%
UPMC Health Plan $5,328 - $19,869 41%
+ 1 smaller / regional plan $13,248

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Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals