CMS Price Transparency Data

Total knee replacement

Facility: Yavapai Regional Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,563

about 0.3× the $13,117 Medicare rate · typically $2,478–$12,264

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,634

Below the fair price — a good deal

about $1,929 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $4,563 This hospital $2,634 Cash price $1,984 Hospital's list price $2,674

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $2,634 Priciest $11,147

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

A fair price for a Total knee replacement is about $4,563 (about 0.3× the $13,117 Medicare rate). Yavapai Regional Medical Center charges insurers about $2,634, or about $1,984 in cash — below the fair price — a good deal. Located in Prescott, AZ.

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	$1,345 - $2,741	10%
Blue Cross Blue Shieldmajor	$2,276 - $2,754	17%
Aetnamajor	$2,407 - $2,674	18%
Cignamajor	$2,273 - $2,674	17%
Humanamajor	$1,345 - $2,674	10%
Banner Health	$1,345 - $2,674	10%
Devoted Health	$2,834	22%
Health Net	$1,345 - $2,674	10%
WellCare	$2,674 - $2,808	20%
+ 11 smaller / regional plans	$1,345 - $2,808

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 1,984), 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 Yavapai Regional Medical Center 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 Yavapai Regional Medical Center

Compare: Total knee replacement at other AZ hospitals

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