CMS Price Transparency Data

Total hip replacement

Facility: SSM Health St Mary's Hospital - Janesville

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$16,740
about 1.3× the $13,117 Medicare rate · typically $5,302–$23,159
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,639
About the fair price
about $1,899 over the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $16,740 This hospital $18,639

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $2,456 Priciest $18,639

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

A fair price for a Total hip replacement is about $16,740 (about 1.3× the $13,117 Medicare rate). SSM Health St Mary's Hospital - Janesville charges insurers about $18,639 — about the fair price. Located in Janesville, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $18,190 - $19,087 139%
Dean Health Plan $12,932 99%
Molina $9,699 74%
+ 1 smaller / regional plan $24,224

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Facility Profile & Credentials

  • Address: 3400 East Racine Street, Janesville, WI 53546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals