CMS Price Transparency Data

Total knee replacement

Facility: Memorialcare Orange Coast Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$18,015

about 1.4× the $13,117 Medicare rate · typically $12,307–$21,409

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,485

About the fair price

about $1,470 over the fair price · 1.5× Medicare

Medicare pays $13,117 Fair price $18,015 This hospital $19,485

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 $19,485

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 $18,015 (about 1.4× the $13,117 Medicare rate). Memorialcare Orange Coast Medical Center charges insurers about $19,485 — about the fair price. Located in Fountain Valley, CA.

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✓ Cigna HumanaKaiser 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	$28,818 - $52,593	220%
Blue Cross Blue Shieldmajor	$6,066 - $45,091	46%
Aetnamajor	$2,998 - $5,162	23%
Cignamajor	$4,204 - $6,370	32%
Health Net	$25,762 - $36,803	196%
Molina	$17,008	130%
SelectHealth	$22,292	170%
+ 7 smaller / regional plans	$14,861 - $44,915

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 Memorialcare Orange Coast 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 Memorialcare Orange Coast 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.