CMS Price Transparency Data

Total hip replacement

Facility: Pelham Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$18,397
about 1.4× the $13,117 Medicare rate · typically $10,817–$26,277
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,052
Above the fair price
about $8,655 over the fair price · 2.1× Medicare
Medicare pays $13,117 Fair price $18,397 This hospital $27,052

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $11,906 Priciest $27,052

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Total hip replacement is about $18,397 (about 1.4× the $13,117 Medicare rate). Pelham Medical Center charges insurers about $27,052 — above the fair price. Located in Greer, SC.

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 $18,397. 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 $44,433 339%
Blue Cross Blue Shieldmajor $12,331 - $95,049 94%
Aetnamajor $12,732 97%
Cignamajor $13,099 - $14,170 100%
Humanamajor $12,242 93%
Devoted Health $12,610 96%
Health Net $32,152 245%
+ 1 smaller / regional plan $12,855

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.

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Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals