CMS Price Transparency Data

Total hip replacement

Facility: Providence Holy Family Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17,851
about 1.4× the $13,117 Medicare rate · typically $13,322–$26,080
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,752
Above the fair price
about $7,901 over the fair price · 2.0× Medicare
Medicare pays $13,117 Fair price $17,851 This hospital $25,752

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $3,007 Priciest $25,752

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

A fair price for a Total hip replacement is about $17,851 (about 1.4× the $13,117 Medicare rate). Providence Holy Family Hospital charges insurers about $25,752 — above the fair price. Located in Spokane, WA.

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 $17,851. 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✓ Kaiser Permanente Humana

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 $15,308 - $52,451 117%
Blue Cross Blue Shieldmajor $14,879 - $49,274 113%
Aetnamajor $17,427 133%
Cignamajor $2,985 23%
Kaiser Permanentemajor $14,307 - $44,036 109%
Amerigroup $15,737 120%
Providence Health Plan $37,555 286%
+ 2 smaller / regional plans $22,891 - $26,467

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: 5633 North Lidgerwood, Spokane, WA 99208
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals