CMS Price Transparency Data
Total hip replacement
Facility: Southwestern Vermont Medical Center
Billing Code: 27130 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,101
about 0.1× the $13,117 Medicare rate · typically $886–$2,796
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,101 Cash price $2,493 Hospital's list price $3,561
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 | $165 - $2,471 | 1% |
| Blue Cross Blue Shieldmajor | $165 - $3,722 | 1% |
| Aetnamajor | $165 - $1,939 | 1% |
| Cignamajor | $165 - $1,858 | 1% |
| Humanamajor | $165 - $1,765 | 1% |
| CDPHP | $165 - $2,523 | 1% |
| Fidelis Care | $165 - $1,853 | 1% |
| Harvard Pilgrim | $1,898 | 14% |
| MVP Health Care | $165 - $1,864 | 1% |
| Tufts Health Plan | $1,802 | 14% |
| WellCare | $165 - $1,765 | 1% |
| + 3 smaller / regional plans | $165 - $2,471 |
Self-Pay How to get the cash price
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Other Procedures at Southwestern Vermont Medical Center
Compare: Total hip replacement at other VT hospitals
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $2,363
- Central Vermont Medical Center · Barre $2,861
- Brattleboro Memorial Hospital · Brattleboro $3,048
Insurance negotiated median for the same procedure, sorted lowest first.