CMS Price Transparency Data

Total knee replacement

Facility: Baldwin Health

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,469
about 1.0× the $13,117 Medicare rate · typically $5,039–$13,875
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,301
About the fair price
about $168 under the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $12,469 This hospital $12,301 Cash price $27,621 Hospital's list price $153,451

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $10,821 Priciest $12,301

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

A fair price for a Total knee replacement is about $12,469 (about 1.0× the $13,117 Medicare rate). Baldwin Health charges insurers about $12,301, or about $27,621 in cash — about the fair price. Located in Foley, AL.

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✓ Humana Kaiser 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 $6,283 - $30,476 48%
Blue Cross Blue Shieldmajor $11,971 - $13,000 91%
Aetnamajor $12,330 - $138,106 94%
Cignamajor $12,210 - $45,489 93%
Humanamajor $11,971 91%
Ambetter (Centene) $18,269 139%
Clover Health $12,301 94%
Devoted Health $12,210 93%
SelectHealth $12,301 94%
WellCare $12,423 95%
+ 14 smaller / regional plans $11,971 - $138,106
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals