CMS Price Transparency Data

Total hip replacement

Facility: Rhode Island Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$18,725
about 1.4× the $13,117 Medicare rate · typically $7,327–$22,615
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,058
About the fair price
about $333 over the fair price · 1.5× Medicare
Medicare pays $13,117 Fair price $18,725 This hospital $19,058

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

One of the lower prices — 2 of 3 other RI hospitals charge more for the same procedure.

Cheapest $19,034 Priciest $23,075

Black dot = this hospital, among the 4 RI hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $18,725 (about 1.4× the $13,117 Medicare rate). Rhode Island Hospital charges insurers about $19,058 — about the fair price. Located in Providence, RI.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $19,010 145%
Blue Cross Blue Shieldmajor $13,735 - $27,226 105%
Aetnamajor $14,760 113%
Cignamajor $14,435 - $60,678 110%
Tufts Health Plan $28,107 214%

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Facility Profile & Credentials

  • Address: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals