CMS Price Transparency Data

Total hip replacement

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$10,063
about 0.8× the $13,117 Medicare rate · typically $6,664–$14,710
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,029
Below the fair price — a good deal
about $3,034 under the fair price · 0.5× Medicare
Medicare pays $13,117 Fair price $10,063 This hospital $7,029

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 $7,029

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 $10,063 (about 0.8× the $13,117 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $7,029 — below the fair price — a good deal. Located in Macungie, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $986 - $35,221 8%
Aetnamajor $1,125 - $65,395 9%
Cignamajor $1,623 - $13,493 12%
Humanamajor $1,592 - $13,231 12%
Ambetter (Centene) $4,780 - $39,732 36%
AmeriHealth $1,125 - $13,493 9%
Geisinger $970 - $57,577 7%
HealthPartners $1,048 - $26,200 8%
UPMC Health Plan $1,277 - $63,797 10%
+ 5 smaller / regional plans $1,048 - $76,392

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Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals