CMS Price Transparency Data

Total knee replacement

Facility: Mercy Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,225
about 0.6× the $13,117 Medicare rate · typically $2,959–$10,827
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,819
Below the fair price — a good deal
about $1,406 under the fair price · 0.4× Medicare
Medicare pays $13,117 Fair price $7,225 This hospital $5,819

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CA hospitals compared.

Cheapest $2,457 Priciest $7,087

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 $7,225 (about 0.6× the $13,117 Medicare rate). Mercy Medical Center charges insurers about $5,819 — below the fair price — a good deal. Located in Merced, CA.

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✓ Humana✓ Kaiser Permanente Cigna

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 $16,349 125%
Blue Cross Blue Shieldmajor $2,457 - $39,336 19%
Aetnamajor $13,163 - $16,349 100%
Humanamajor $16,349 125%
Kaiser Permanentemajor $1,709 - $16,349 13%
Health Net $5,819 - $34,751 44%
Molina $1,709 13%
+ 8 smaller / regional plans $1,709 - $16,349

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Facility Profile & Credentials

  • Address: 333 Mercy Avenue, Merced, CA 95340
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals