CMS Price Transparency Data

Total knee replacement

Facility: Mercy San Juan Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$17,140

about 1.3× the $13,117 Medicare rate · typically $10,185–$20,745

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,501

Below the fair price — a good deal

about $2,639 under the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $17,140 This hospital $14,501

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 $14,501

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 $17,140 (about 1.3× the $13,117 Medicare rate). Mercy San Juan Medical Center charges insurers about $14,501 — below the fair price — a good deal. Located in Carmichael, 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	$1,709 - $16,908	13%
Blue Cross Blue Shieldmajor	$4,059 - $58,040	31%
Aetnamajor	$14,501 - $16,908	111%
Humanamajor	$16,908	129%
Kaiser Permanentemajor	$16,908	129%
Health Net	$6,169 - $28,092	47%
Molina	$2,800 - $16,908	21%
+ 6 smaller / regional plans	$1,300 - $25,362

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, 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 Mercy San Juan 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 Mercy San Juan Medical Center

Compare: Total knee replacement at other CA hospitals

Banner Lassen Medical Center · Susanville $2,457
Southwest Healthcare Rancho Springs Hospital · Murrieta $2,694
Valley Children's Hospital · Madera $2,991
Palmdale Regional Medical Center · Palmdale $3,833
Corona Regional Medical Center · Corona $3,851
Mercy Medical Center · Merced $5,819
Riverside Community Hospital · Riverside $5,892
Mercy Hospital · Bakersfield $7,065

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