CMS Price Transparency Data
Total hip replacement
Facility: Surgical Institute of Reading
Billing Code: 27130 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$14,116
about 1.1× the $13,117 Medicare rate · typically $1,314–$14,116
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $14,116 Cash price $18,522 Hospital's list price $65,407
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $14,305 | 109% |
| Blue Cross Blue Shieldmajor | $1,432 - $13,073 | 11% |
| Aetnamajor | $12,540 - $54,288 | 96% |
| Geisinger | $12,540 - $18,810 | 96% |
| + 2 smaller / regional plans | $12,540 - $39,244 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Surgical Institute of Reading
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.