CMS Price Transparency Data

Total knee replacement

Facility: HCA Florida Highlands Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$18,178
about 1.4× the $13,117 Medicare rate · typically $7,772–$25,486
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,689
Above the fair price
about $5,511 over the fair price · 1.8× Medicare
Medicare pays $13,117 Fair price $18,178 This hospital $23,689

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $2,340 Priciest $23,689

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

A fair price for a Total knee replacement is about $18,178 (about 1.4× the $13,117 Medicare rate). HCA Florida Highlands Hospital charges insurers about $23,689 — above the fair price. Located in Sebring, FL.

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 $18,178. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $43,000 328%
Blue Cross Blue Shieldmajor $15,535 - $24,677 118%
Aetnamajor $24,476 - $29,886 187%
Cignamajor $11,166 - $16,759 85%
Humanamajor $11,000 - $34,002 84%
AvMed $23,133 - $39,037 176%
Devoted Health $16,759 128%
Molina $1,950 15%
Oscar Health $44,616 340%
Simply Healthcare $52,111 397%
+ 4 smaller / regional plans $2,350 - $17,429
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: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals