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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$12.16 – $62,213

Negotiated median

$14,366

CPT 27130 Total hip replacement · Showing 200 of 422 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Robert Wood Johnson University Hospi	NJ	Cash pay	N/A	outpatient	cash	$5,110.00
Newark Beth Israel Medical Center	NJ	Cash pay	N/A	outpatient	cash	$4,881.00
Community Medical Center	NJ	Cash pay	N/A	outpatient	cash	$3,786.00
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$22,525
Robert Wood Johnson University Hospi	NJ	[De-identified Min]	—	outpatient	min	$22,525
Community Medical Center	NJ	[De-identified Min]	—	outpatient	min	$22,525
Robert Wood Johnson University Hospi	NJ	[De-identified Min]	—	outpatient	min	$21,325
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$21,303
Community Medical Center	NJ	[De-identified Min]	—	outpatient	min	$21,284
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$17,952
Robert Wood Johnson University Hospi	NJ	[De-identified Min]	—	outpatient	min	$16,340
Robert Wood Johnson University Hospi	NJ	[De-identified Min]	—	outpatient	min	$8,720.00
Community Medical Center	NJ	[De-identified Min]	—	outpatient	min	$7,245.00
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$3,266.00
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$2,699.00
Community Medical Center	NJ	[De-identified Min]	—	outpatient	min	$2,699.00
Inspira Medical Center Vineland	NJ	[De-identified Min]	—	outpatient	min	$1,884.35
Inspira Medical Center Elmer	NJ	[De-identified Min]	—	outpatient	min	$1,884.35
Inspira Medical Center Woodbury Inc	NJ	[De-identified Min]	—	outpatient	min	$1,884.35
Kennedy University Hospital	NJ	[De-identified Min]	—	outpatient	min	$963.30
Newark Beth Israel Medical Center	NJ	[De-identified Min]	—	outpatient	min	$674.82
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$62,213
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$60,940
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$57,200
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$49,769
Inspira Medical Center Vineland	NJ	Ambetter	Commercial	outpatient	negotiated	$29,611
Inspira Medical Center Elmer	NJ	Ambetter	Commercial	outpatient	negotiated	$29,450
Inspira Medical Center Woodbury Inc	NJ	Ambetter	Commercial	outpatient	negotiated	$29,450
Newark Beth Israel Medical Center	NJ	Emblem Health	Commercial	outpatient	negotiated	$28,871
Newark Beth Israel Medical Center	NJ	WellCare	Ambetter Health Commercial	outpatient	negotiated	$28,727
Robert Wood Johnson University Hospi	NJ	WellCare	Ambetter Health Commercial	outpatient	negotiated	$27,983
Community Medical Center	NJ	WellCare	Ambetter Health Commercial	outpatient	negotiated	$27,983
Newark Beth Israel Medical Center	NJ	Aetna	HMO	outpatient	negotiated	$26,990
Newark Beth Israel Medical Center	NJ	Aetna	PPO	outpatient	negotiated	$26,990
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$26,500
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$26,500
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$26,500
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$26,500
Community Medical Center	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$26,500
Community Medical Center	NJ	UnitedHealthcare	Oxford Commercial	outpatient	negotiated	$26,500
Kennedy University Hospital	NJ	Aetna	Commercial	outpatient	negotiated	$26,265
Robert Wood Johnson University Hospi	NJ	Aetna	HMO	outpatient	negotiated	$26,240
Robert Wood Johnson University Hospi	NJ	Aetna	PPO	outpatient	negotiated	$26,240
Community Medical Center	NJ	Aetna	HMO	outpatient	negotiated	$26,240
Community Medical Center	NJ	Aetna	PPO	outpatient	negotiated	$26,240
Robert Wood Johnson University Hospi	NJ	Emblem Health	Commercial	outpatient	negotiated	$24,608
Community Medical Center	NJ	Emblem Health	Commercial	outpatient	negotiated	$24,608
Newark Beth Israel Medical Center	NJ	Cigna	PPO	outpatient	negotiated	$24,026
Robert Wood Johnson University Hospi	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$23,990
Newark Beth Israel Medical Center	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$23,966
Community Medical Center	NJ	amerihealth	Regional Preferred	outpatient	negotiated	$23,943
Newark Beth Israel Medical Center	NJ	Cigna	HMO	outpatient	negotiated	$22,811
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$22,525
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$22,525
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$22,525
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$22,525
Community Medical Center	NJ	UnitedHealthcare	Nexus	outpatient	negotiated	$22,525
Community Medical Center	NJ	UnitedHealthcare	Oxford Metro	outpatient	negotiated	$22,525
Robert Wood Johnson University Hospi	NJ	Cigna	PPO	outpatient	negotiated	$21,868
Community Medical Center	NJ	Cigna	PPO	outpatient	negotiated	$21,412
Robert Wood Johnson University Hospi	NJ	amerihealth	Local Value	outpatient	negotiated	$21,325
Newark Beth Israel Medical Center	NJ	amerihealth	Local Value	outpatient	negotiated	$21,303
Community Medical Center	NJ	amerihealth	Local Value	outpatient	negotiated	$21,284
Robert Wood Johnson University Hospi	NJ	Cigna	HMO	outpatient	negotiated	$20,762
Community Medical Center	NJ	Cigna	HMO	outpatient	negotiated	$20,329
Kennedy University Hospital	NJ	Cigna	JNJ001_JNJ002_JNJ003 PPO	outpatient	negotiated	$19,229
Newark Beth Israel Medical Center	NJ	Cigna	Local Plus	outpatient	negotiated	$17,952
Robert Wood Johnson University Hospi	NJ	Cigna	Local Plus	outpatient	negotiated	$16,340
Kennedy University Hospital	NJ	Cigna	JNJ001_JNJ002_JNJ003 Commercial	outpatient	negotiated	$16,024
Community Medical Center	NJ	Cigna	Local Plus	outpatient	negotiated	$15,999
Inspira Medical Center Vineland	NJ	jefferson health plan	Medicare Advantage	outpatient	negotiated	$15,456
Inspira Medical Center Elmer	NJ	jefferson health plan	Medicare Advantage	outpatient	negotiated	$15,371
Inspira Medical Center Woodbury Inc	NJ	jefferson health plan	Medicare Advantage	outpatient	negotiated	$15,371
Inspira Medical Center Vineland	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$15,311
Inspira Medical Center Elmer	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$15,228
Inspira Medical Center Woodbury Inc	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$15,228
Inspira Medical Center Vineland	NJ	Humana	Medicare Advantage	outpatient	negotiated	$15,167
Inspira Medical Center Elmer	NJ	Humana	Medicare Advantage	outpatient	negotiated	$15,084
Inspira Medical Center Woodbury Inc	NJ	Humana	Medicare Advantage	outpatient	negotiated	$15,084
Kennedy University Hospital	NJ	jeff nj amerihealth_ibc	Admin_Indemnity	outpatient	negotiated	$15,000
Kennedy University Hospital	NJ	jeff nj amerihealth_ibc	Commercial	outpatient	negotiated	$15,000
Inspira Medical Center Vineland	NJ	healthspring	Medicare Advantage	outpatient	negotiated	$14,878
Inspira Medical Center Elmer	NJ	healthspring	Medicare Advantage	outpatient	negotiated	$14,797
Inspira Medical Center Woodbury Inc	NJ	healthspring	Medicare Advantage	outpatient	negotiated	$14,797
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Medicare	outpatient	negotiated	$14,724
Inspira Medical Center Vineland	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	Medicare	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	braven health	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	horizon nj total care	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	WellCare	Medicare Advantage	outpatient	negotiated	$14,444
Inspira Medical Center Vineland	NJ	wellpoint full dual advantage	Medicare Advantage	outpatient	negotiated	$14,444
Newark Beth Israel Medical Center	NJ	Aetna	Medicare	outpatient	negotiated	$14,436
Newark Beth Israel Medical Center	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,436
Newark Beth Israel Medical Center	NJ	fidelis care	Medicare Advantage	outpatient	negotiated	$14,436
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$14,436
Newark Beth Israel Medical Center	NJ	Humana	Medicare	outpatient	negotiated	$14,436
Newark Beth Israel Medical Center	NJ	wellpoint	Medicare Advantage	outpatient	negotiated	$14,436
Inspira Medical Center Elmer	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	Medicare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	braven health	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	horizon nj total care	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	WellCare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Elmer	NJ	wellpoint full dual advantage	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	Aetna	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	Medicare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	braven health	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	horizon nj total care	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	WellCare	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	wellpoint full dual advantage	Medicare Advantage	outpatient	negotiated	$14,366
Inspira Medical Center Woodbury Inc	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,366
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Medicare	outpatient	negotiated	$14,343
Community Medical Center	NJ	UnitedHealthcare	Medicare	outpatient	negotiated	$14,343
Robert Wood Johnson University Hospi	NJ	Aetna	Medicare	outpatient	negotiated	$14,062
Robert Wood Johnson University Hospi	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,062
Robert Wood Johnson University Hospi	NJ	fidelis care	Medicare Advantage	outpatient	negotiated	$14,062
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$14,062
Robert Wood Johnson University Hospi	NJ	Humana	Medicare	outpatient	negotiated	$14,062
Robert Wood Johnson University Hospi	NJ	wellpoint	Medicare Advantage	outpatient	negotiated	$14,062
Community Medical Center	NJ	Aetna	Medicare	outpatient	negotiated	$14,062
Community Medical Center	NJ	clover health	Medicare Advantage	outpatient	negotiated	$14,062
Community Medical Center	NJ	fidelis care	Medicare Advantage	outpatient	negotiated	$14,062
Community Medical Center	NJ	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$14,062
Community Medical Center	NJ	Humana	Medicare	outpatient	negotiated	$14,062
Community Medical Center	NJ	wellpoint	Medicare Advantage	outpatient	negotiated	$14,062
Inspira Medical Center Vineland	NJ	Aetna	Commercial	outpatient	negotiated	$13,385
Inspira Medical Center Elmer	NJ	Aetna	Commercial	outpatient	negotiated	$13,385
Inspira Medical Center Woodbury Inc	NJ	Aetna	Commercial	outpatient	negotiated	$13,385
Kennedy University Hospital	NJ	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$11,377
Kennedy University Hospital	NJ	Blue Cross Blue Shield	PPO	outpatient	negotiated	$11,377
Kennedy University Hospital	NJ	Aetna	Commercial	outpatient	negotiated	$10,746
Kennedy University Hospital	NJ	Blue Cross Blue Shield	Commercial HMO	outpatient	negotiated	$10,745
Kennedy University Hospital	NJ	UnitedHealthcare	Commercial	outpatient	negotiated	$9,751.00
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$8,720.00
Kennedy University Hospital	NJ	UnitedHealthcare	Commercial Oxford Metro Exchange	outpatient	negotiated	$8,283.00
Community Medical Center	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$7,245.00
Kennedy University Hospital	NJ	Cigna	JNJ001_JNJ002_JNJ003 PPO	outpatient	negotiated	$7,200.00
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	NJ Health	outpatient	negotiated	$7,103.00
Kennedy University Hospital	NJ	Cigna	JNJ001_JNJ002_JNJ003 Commercial	outpatient	negotiated	$6,000.00
Newark Beth Israel Medical Center	NJ	wellpoint	NJ Family Care	outpatient	negotiated	$3,266.00
Community Medical Center	NJ	wellpoint	NJ Family Care	outpatient	negotiated	$3,266.00
Newark Beth Israel Medical Center	NJ	qualcare inc	HMO/POS	outpatient	negotiated	$2,699.00
Community Medical Center	NJ	qualcare inc	HMO/POS	outpatient	negotiated	$2,699.00
Inspira Medical Center Vineland	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$1,884.35
Inspira Medical Center Elmer	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$1,884.35
Inspira Medical Center Woodbury Inc	NJ	horizon nj health	Managed Medicaid	outpatient	negotiated	$1,884.35
Kennedy University Hospital	NJ	pa health_wellness chc	JNJ001_JNJ002_JNJ003 CHC	outpatient	negotiated	$1,008.80
Kennedy University Hospital	NJ	horizon nj health nj	Medicaid	outpatient	negotiated	$963.30
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$674.82
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$93.33
Community Medical Center	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$91.49
Newark Beth Israel Medical Center	NJ	qualcare inc	PPO/WC	outpatient	negotiated	$87.00
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$85.00
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	PIP	outpatient	negotiated	$85.00
Community Medical Center	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$85.00
Robert Wood Johnson University Hospi	NJ	qualcare inc	HMO/POS/PPO	outpatient	negotiated	$83.00
Robert Wood Johnson University Hospi	NJ	qualcare inc	WC	outpatient	negotiated	$83.00
Community Medical Center	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$80.03
Community Medical Center	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$78.74
Community Medical Center	NJ	qualcare inc	PPO/WC	outpatient	negotiated	$75.60
Community Medical Center	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$75.00
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Non-Managed	outpatient	negotiated	$69.77
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Managed	outpatient	negotiated	$69.12
Community Medical Center	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$64.95
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	State Benefit Plan	outpatient	negotiated	$64.91
Newark Beth Israel Medical Center	NJ	First Health	Commercial	outpatient	negotiated	$60.00
Robert Wood Johnson University Hospi	NJ	First Health	Commercial	outpatient	negotiated	$60.00
Community Medical Center	NJ	First Health	Commercial	outpatient	negotiated	$60.00
Robert Wood Johnson University Hospi	NJ	Blue Cross Blue Shield	Worker's Comp	outpatient	negotiated	$57.31
Newark Beth Israel Medical Center	NJ	Blue Cross Blue Shield	Omnia	outpatient	negotiated	$52.12
Newark Beth Israel Medical Center	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$25.96
Newark Beth Israel Medical Center	NJ	Aetna	Better Health	outpatient	negotiated	$24.88
Newark Beth Israel Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$22.71
Community Medical Center	NJ	Aetna	Better Health	outpatient	negotiated	$13.58
Robert Wood Johnson University Hospi	NJ	Aetna	Better Health	outpatient	negotiated	$13.32
Community Medical Center	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$12.64
Robert Wood Johnson University Hospi	NJ	fidelis care	NJ Family Care	outpatient	negotiated	$12.51
Community Medical Center	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$12.41
Robert Wood Johnson University Hospi	NJ	UnitedHealthcare	Community Plan	outpatient	negotiated	$12.16
Robert Wood Johnson University Hospi	NJ	[De-identified Max]	—	outpatient	max	$62,213
Inspira Medical Center Vineland	NJ	[De-identified Max]	—	outpatient	max	$29,611
Inspira Medical Center Elmer	NJ	[De-identified Max]	—	outpatient	max	$29,450
Inspira Medical Center Woodbury Inc	NJ	[De-identified Max]	—	outpatient	max	$29,450
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$28,871
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$28,727
Community Medical Center	NJ	[De-identified Max]	—	outpatient	max	$27,983
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$26,500
Robert Wood Johnson University Hospi	NJ	[De-identified Max]	—	outpatient	max	$26,500
Community Medical Center	NJ	[De-identified Max]	—	outpatient	max	$26,500
Kennedy University Hospital	NJ	[De-identified Max]	—	outpatient	max	$26,265
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$24,026
Robert Wood Johnson University Hospi	NJ	[De-identified Max]	—	outpatient	max	$23,990
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$23,966
Community Medical Center	NJ	[De-identified Max]	—	outpatient	max	$23,943
Newark Beth Israel Medical Center	NJ	[De-identified Max]	—	outpatient	max	$2,699.00
Community Medical Center	NJ	[De-identified Max]	—	outpatient	max	$2,699.00

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).