CMS Price Transparency Data

Total hip replacement

Facility: Geisinger Jersey Shore Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,225
about 0.2× the $13,117 Medicare rate · typically $1,530–$10,599
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,147
Above the fair price
about $1,922 over the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $3,225 This hospital $5,147 Cash price $7,940 Hospital's list price $12,807

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $2,568 Priciest $6,696

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 $3,225 (about 0.2× the $13,117 Medicare rate). Geisinger Jersey Shore Hospital charges insurers about $5,147, or about $7,940 in cash — above the fair price. Located in Jersey Shore, 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 $3,225. 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

✓ 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 $4,549 - $6,823 35%
Blue Cross Blue Shieldmajor $1,646 - $9,116 13%
Aetnamajor $5,147 - $11,757 39%
Cignamajor $4,918 - $7,377 37%
Humanamajor $5,198 40%
Ambetter (Centene) $12,352 94%
AmeriHealth $1,100 8%
Geisinger $1,100 - $7,544 8%
HealthPartners $1,200 9%
UPMC Health Plan $1,175 - $1,250 9%
+ 6 smaller / regional plans $5,122 - $15,286
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1020 Thompson Street, Jersey Shore, PA 17740
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals