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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 27130
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $23,613 · local Medicare $16,513 · file 2026-05-29 | |||
| Bright Health | $26,420 | 1.6× | 1 |
| Elevance/Anthem/Empire | $26,090 | 1.6× | 1 |
| Health Net | $23,613 | 1.4× | 1 |
| Kaiser Permanente | $16,513 | 1.0× | 1 |
| Providence Health Plan | $23,118 | 1.4× | 1 |
| Palomar Health Downtown Campus median $28,434 · local Medicare $16,513 · file 2026-04-01 | |||
| Health Net | $30,449 | 1.8× | 1 |
| Scripps | $26,420 | 1.6× | 1 |
| Palomar Medical Center Poway median $30,449 · local Medicare $16,513 · file 2026-04-01 | |||
| Health Net | $30,449 | 1.8× | 1 |
MS-DRG 470
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $22,202 · local Medicare $18,027 · file 2026-03-30 | |||
| Aetna | $22,430 | 1.2× | 5 |
| Blue Shield of California | $20,709 | 1.1× | 2 |
| Centivo | $27,005 | 1.5× | 1 |
| Cigna | $27,956 | 1.6× | 5 |
| Elevance/Anthem/Empire | $27,601 | 1.5× | 11 |
| Health Net | $22,202 | 1.2× | 2 |
| HealthPartners | $27,601 | 1.5× | 1 |
| Mc Alignment | $20,709 | 1.1× | 1 |
| Mc Health Net | $20,709 | 1.1× | 1 |
| Mc Scan | $20,709 | 1.1× | 1 |
| Mpmg | $22,202 | 1.2× | 1 |
| Prime Healthcare | $22,202 | 1.2× | 1 |
| Prospect Med Group | $22,202 | 1.2× | 1 |
| Ucsd | $44,262 | 2.5× | 1 |
| UnitedHealthcare | $30,587 | 1.7× | 6 |
| Scripps Green Hospital median $22,202 · local Medicare $18,027 · file 2026-03-30 | |||
| Aetna | $22,430 | 1.2× | 5 |
| Blue Shield of California | $18,690 | 1.0× | 2 |
| Centivo | $27,005 | 1.5× | 1 |
| Cigna | $27,956 | 1.6× | 5 |
| Elevance/Anthem/Empire | $27,601 | 1.5× | 11 |
| Health Net | $21,767 | 1.2× | 2 |
| HealthPartners | $27,601 | 1.5× | 1 |
| Mc Alignment | $18,690 | 1.0× | 1 |
| Mc Health Net | $18,690 | 1.0× | 1 |
| Mc Scan | $18,690 | 1.0× | 1 |
| Mpmg | $22,202 | 1.2× | 1 |
| Prime Healthcare | $21,767 | 1.2× | 1 |
| Prospect Med Group | $21,767 | 1.2× | 1 |
| Ucsd | $44,262 | 2.5× | 1 |
| UnitedHealthcare | $30,587 | 1.7× | 6 |
| Scripps Memorial Hospital - Encinitas median $22,316 · local Medicare $18,027 · file 2026-03-30 | |||
| Aetna | $22,430 | 1.2× | 5 |
| Blue Shield of California | $18,801 | 1.0× | 2 |
| Centivo | $27,005 | 1.5× | 1 |
| Cigna | $27,956 | 1.6× | 5 |
| Elevance/Anthem/Empire | $27,601 | 1.5× | 11 |
| Health Net | $18,942 | 1.1× | 2 |
| HealthPartners | $27,601 | 1.5× | 1 |
| Mc Alignment | $18,801 | 1.0× | 1 |
| Mc Health Net | $18,801 | 1.0× | 1 |
| Mc Scan | $18,801 | 1.0× | 1 |
| Mpmg | $22,202 | 1.2× | 1 |
| Prime Healthcare | $18,942 | 1.1× | 1 |
| Ucsd | $44,262 | 2.5× | 1 |
| UnitedHealthcare | $30,587 | 1.7× | 6 |
| Scripps Memorial Hospital La Jolla median $27,005 · local Medicare $18,027 · file 2026-03-30 | |||
| Aetna | $22,430 | 1.2× | 5 |
| Blue Shield of California | $18,726 | 1.0× | 2 |
| Centivo | $27,005 | 1.5× | 1 |
| Cigna | $27,956 | 1.6× | 5 |
| Elevance/Anthem/Empire | $27,601 | 1.5× | 11 |
| Health Net | $18,726 | 1.0× | 2 |
| HealthPartners | $27,601 | 1.5× | 1 |
| Mc Alignment | $18,726 | 1.0× | 1 |
| Mc Health Net | $18,726 | 1.0× | 1 |
| Mc Scan | $18,726 | 1.0× | 1 |
| Mpmg | $22,202 | 1.2× | 1 |
| Prime Healthcare | $31,834 | 1.8× | 1 |
| Prospect Med Group | $32,770 | 1.8× | 1 |
| Ucsd | $44,262 | 2.5× | 1 |
| UnitedHealthcare | $30,587 | 1.7× | 6 |
| Tri-City Medical Center median $28,026 · local Medicare $18,027 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $28,973 | 1.6× | 1 |
| Health Net | $27,079 | 1.5× | 1 |
| Kaiser Permanente | $32,192 | 1.8× | 1 |
| Providence Health Plan | $26,511 | 1.5× | 1 |
| Palomar Health Downtown Campus median $31,798 · local Medicare $18,027 · file 2026-04-01 | |||
| Health Net | $38,297 | 2.1× | 1 |
| Prospect | $26,830 | 1.5× | 1 |
| Scripps | $31,798 | 1.8× | 1 |
| Palomar Medical Center Poway median $32,156 · local Medicare $18,027 · file 2026-04-01 | |||
| Health Net | $37,818 | 2.1× | 1 |
| Prospect | $26,494 | 1.5× | 1 |
MS-DRG 469
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $34,361 · local Medicare $28,348 · file 2026-03-30 | |||
| Aetna | $37,199 | 1.3× | 5 |
| Blue Shield of California | $32,014 | 1.1× | 2 |
| Centivo | $42,465 | 1.5× | 1 |
| Cigna | $43,960 | 1.6× | 5 |
| Elevance/Anthem/Empire | $43,402 | 1.5× | 11 |
| Health Net | $34,361 | 1.2× | 2 |
| HealthPartners | $43,402 | 1.5× | 1 |
| Mc Alignment | $32,014 | 1.1× | 1 |
| Mc Health Net | $32,014 | 1.1× | 1 |
| Mc Scan | $32,014 | 1.1× | 1 |
| Mpmg | $34,361 | 1.2× | 1 |
| Prime Healthcare | $34,361 | 1.2× | 1 |
| Prospect Med Group | $34,361 | 1.2× | 1 |
| Ucsd | $69,603 | 2.5× | 1 |
| UnitedHealthcare | $48,097 | 1.7× | 6 |
| Scripps Green Hospital median $34,361 · local Medicare $28,348 · file 2026-03-30 | |||
| Aetna | $37,199 | 1.3× | 5 |
| Blue Shield of California | $29,390 | 1.0× | 2 |
| Centivo | $42,465 | 1.5× | 1 |
| Cigna | $43,960 | 1.6× | 5 |
| Elevance/Anthem/Empire | $43,402 | 1.5× | 11 |
| Health Net | $34,229 | 1.2× | 2 |
| HealthPartners | $43,402 | 1.5× | 1 |
| Mc Alignment | $29,390 | 1.0× | 1 |
| Mc Health Net | $29,390 | 1.0× | 1 |
| Mc Scan | $29,390 | 1.0× | 1 |
| Mpmg | $34,361 | 1.2× | 1 |
| Prime Healthcare | $34,229 | 1.2× | 1 |
| Prospect Med Group | $34,229 | 1.2× | 1 |
| Ucsd | $69,603 | 2.5× | 1 |
| UnitedHealthcare | $48,097 | 1.7× | 6 |
| Scripps Memorial Hospital - Encinitas median $35,780 · local Medicare $28,348 · file 2026-03-30 | |||
| Aetna | $37,199 | 1.3× | 5 |
| Blue Shield of California | $29,439 | 1.0× | 2 |
| Centivo | $42,465 | 1.5× | 1 |
| Cigna | $43,960 | 1.6× | 5 |
| Elevance/Anthem/Empire | $43,402 | 1.5× | 11 |
| Health Net | $29,661 | 1.0× | 2 |
| HealthPartners | $43,402 | 1.5× | 1 |
| Mc Alignment | $29,439 | 1.0× | 1 |
| Mc Health Net | $29,439 | 1.0× | 1 |
| Mc Scan | $29,439 | 1.0× | 1 |
| Mpmg | $34,361 | 1.2× | 1 |
| Prime Healthcare | $29,661 | 1.0× | 1 |
| Ucsd | $69,603 | 2.5× | 1 |
| UnitedHealthcare | $48,097 | 1.7× | 6 |
| Scripps Memorial Hospital La Jolla median $42,465 · local Medicare $28,348 · file 2026-03-30 | |||
| Aetna | $37,199 | 1.3× | 5 |
| Blue Shield of California | $29,310 | 1.0× | 2 |
| Centivo | $42,465 | 1.5× | 1 |
| Cigna | $43,960 | 1.6× | 5 |
| Elevance/Anthem/Empire | $43,402 | 1.5× | 11 |
| Health Net | $29,310 | 1.0× | 2 |
| HealthPartners | $43,402 | 1.5× | 1 |
| Mc Alignment | $29,310 | 1.0× | 1 |
| Mc Health Net | $29,310 | 1.0× | 1 |
| Mc Scan | $29,310 | 1.0× | 1 |
| Mpmg | $34,361 | 1.2× | 1 |
| Prime Healthcare | $49,827 | 1.8× | 1 |
| Prospect Med Group | $51,292 | 1.8× | 1 |
| Ucsd | $69,603 | 2.5× | 1 |
| UnitedHealthcare | $48,097 | 1.7× | 6 |
| Tri-City Medical Center median $43,391 · local Medicare $28,348 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $44,857 | 1.6× | 1 |
| Health Net | $41,925 | 1.5× | 1 |
| Kaiser Permanente | $49,841 | 1.8× | 1 |
| Providence Health Plan | $41,045 | 1.4× | 1 |
| Palomar Health Downtown Campus median $49,101 · local Medicare $28,348 · file 2026-04-01 | |||
| Health Net | $59,136 | 2.1× | 1 |
| Prospect | $41,429 | 1.5× | 1 |
| Scripps | $49,101 | 1.7× | 1 |
| Palomar Medical Center Poway median $50,008 · local Medicare $28,348 · file 2026-04-01 | |||
| Health Net | $58,813 | 2.1× | 1 |
| Prospect | $41,203 | 1.5× | 1 |
Questions
How much does hip replacement cost with commercial insurance in San Diego CA?
3 San Diego CA hospitals post usable commercial rates for CPT 27130, hospital outpatient. The median across hospitals is $28,434; hospital medians range from $23,613 to $30,449. Your cost depends on your plan's deductible and coinsurance.