CMS Price Transparency Data

Total hip replacement

Facility: Providence St Lukes Rehabilitation Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,344
about 0.3× the $13,117 Medicare rate · typically $1,791–$14,228
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,951
Well above the fair price
about $10,607 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $4,344 This hospital $14,951

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $3,007 Priciest $16,453

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 $4,344 (about 0.3× the $13,117 Medicare rate). Providence St Lukes Rehabilitation Medical Center charges insurers about $14,951 — well 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 $4,344. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $15,022 115%
Blue Cross Blue Shieldmajor $14,307 - $25,752 109%
Aetnamajor $4,396 - $14,879 34%
+ 1 smaller / regional plan $15,737

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: 711 S Cowley St, Spokane, WA 99202
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL