CMS Price Transparency Data

Total knee replacement

Facility: Valleywise Health Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9,211
about 0.7× the $13,117 Medicare rate · typically $3,475–$14,817
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,700
Above the fair price
about $4,489 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $9,211 This hospital $13,700 Cash price $15,755

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $2,634 Priciest $13,700

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 $9,211 (about 0.7× the $13,117 Medicare rate). Valleywise Health Medical Center charges insurers about $13,700, or about $15,755 in cash — above the fair price. Located in Phoenix, AZ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $9,211. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $8,928 - $9,151 68%
Blue Cross Blue Shieldmajor $4,150 - $16,600 32%
Aetnamajor $13,700 104%
Humanamajor $13,700 104%
Banner Health $9,151 - $13,700 70%
Devoted Health $13,700 104%
Health Net $9,151 - $26,198 70%
Molina $10,067 - $15,070 77%
Oscar Health $14,796 113%
+ 9 smaller / regional plans $9,151 - $26,578
Government programs also on file: Military & VA.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2601 East Roosevelt Street, Phoenix, AZ 85008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals