Total hip replacement
Facility: St Clair Hospital
Billing Code: 27130 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $5,959 (about 0.5× the $13,117 Medicare rate). St Clair Hospital charges insurers about $27,981, or about $9,117 in cash — well above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,959. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $12,505 - $41,037 | 95% |
| Blue Cross Blue Shieldmajor | $11,142 - $27,981 | 85% |
| Aetnamajor | $12,880 - $33,514 | 98% |
| Cignamajor | $13,005 - $28,696 | 99% |
| Humanamajor | $12,505 | 95% |
| AmeriHealth | $12,505 | 95% |
| Geisinger | $12,880 | 98% |
| HealthPartners | $13,131 | 100% |
| UPMC Health Plan | $854 - $22,689 | 7% |
| + 3 smaller / regional plans | $13,005 - $30,013 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St Clair Hospital
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.