CMS Price Transparency Data

Total knee replacement

Facility: USA Health Children's & Women's Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,576

about 0.1× the $13,117 Medicare rate · typically $1,042–$6,465

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $1,576 Cash price $3,833 Hospital's list price $3,833

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$1,159 - $9,751	9%
Blue Cross Blue Shieldmajor	$1,136	9%
Aetnamajor	$1,159	9%
Humanamajor	$1,159	9%
Ambetter (Centene)	$1,391	11%
Devoted Health	$1,159	9%
Molina	$1,275 - $10,726	10%
WellCare	$1,159	9%
+ 5 smaller / regional plans	$1,159 - $9,751

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,833), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 27447.

Insurance Before you use insurance

Call your insurance company to confirm USA Health Children's & Women's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 27447.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at USA Health Children's & Women's Hospital

Compare: Total knee replacement at other AL hospitals

St Vincent's Birmingham · Birmingham $10,821
St Vincents Blount · Oneonta $10,863
St. Vincent's East · Birmingham $10,926
Whitfield Regional Hospital · Demopolis $11,065
Hill Hospital of Sumter County · York $11,065
J Paul Jones Hospital · Camden $11,065
Medical Center Enterprise · Enterprise $11,180
Riverview Regional Medical Center · Gadsden $11,459

Insurance negotiated median for the same procedure, sorted lowest first.