CMS Price Transparency Data

Total knee replacement

Facility: San Gorgonio Memorial Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14,081
about 1.1× the $13,117 Medicare rate · typically $3,893–$16,974
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,432
Above the fair price
about $2,351 over the fair price · 1.3× Medicare
Medicare pays $13,117 Fair price $14,081 This hospital $16,432 Cash price $5,228 Hospital's list price $26,138

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $2,457 Priciest $16,432

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

A fair price for a Total knee replacement is about $14,081 (about 1.1× the $13,117 Medicare rate). San Gorgonio Memorial Hospital charges insurers about $16,432, or about $5,228 in cash — above the fair price. Located in Banning, CA.

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 $14,081. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Kaiser Permanente AetnaCignaHumana

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 $16,432 125%
Blue Cross Blue Shieldmajor $4,294 - $16,432 33%
Kaiser Permanentemajor $16,432 - $49,295 125%
Health Net $16,432 - $23,530 125%
+ 10 smaller / regional plans $15,610 - $19,718

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: 600 North Highland Springs Avenue, Banning, CA 92220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals