CMS Price Transparency Data

Total hip replacement

Facility: South County Hospital Inc

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$16,543
about 1.3× the $13,117 Medicare rate · typically $5,795–$23,081
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,034
Above the fair price
about $2,491 over the fair price · 1.5× Medicare
Medicare pays $13,117 Fair price $16,543 This hospital $19,034 Cash price $12,871 Hospital's list price $21,451

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Lowest price of the 4 RI hospitals we have prices for — a strong deal.

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 $16,543 (about 1.3× the $13,117 Medicare rate). South County Hospital Inc charges insurers about $19,034, or about $12,871 in cash — above the fair price. Located in Wakefield, RI.

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 $16,543. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $14,901 114%
Blue Cross Blue Shieldmajor $19,034 145%
+ 1 smaller / regional plan $26,532

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: 100 Kenyon Ave, Wakefield, RI 02879
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals