CMS Price Transparency Data

Total knee replacement

Facility: Baptist Medical Center Beaches

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$13,989

about 1.1× the $13,117 Medicare rate · typically $5,489–$22,387

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,150

Below the fair price — a good deal

about $6,839 under the fair price · 0.5× Medicare

Medicare pays $13,117 Fair price $13,989 This hospital $7,150

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

A typical price — 3 charge more and 4 charge less, among the 9 FL hospitals compared.

Cheapest $2,340 Priciest $10,638

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 $13,989 (about 1.1× the $13,117 Medicare rate). Baptist Medical Center Beaches charges insurers about $7,150 — below the fair price — a good deal. Located in Jacksonville Beach, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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	$6,554 - $13,045	50%
Aetnamajor	$7,150 - $13,174	55%
Ambetter (Centene)	$30,997	236%
Amerigroup	$5,958	45%
AmeriHealth	$6,554	50%
Devoted Health	$13,690	104%
Molina	$7,090	54%
Simply Healthcare	$6,256 - $7,150	48%
UPMC Health Plan	$14,207	108%
+ 7 smaller / regional plans	$5,958 - $13,561

Government programs also on file: Military & VA.

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

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 Baptist Medical Center Beaches 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 Baptist Medical Center Beaches

Compare: Total knee replacement at other FL hospitals

Doctors Memorial Hospital Inc · Perry $2,340
Palm Beach Gardens Medical Center · Palm Beach Gardens $2,709
Jay Hospital · Jay $6,356
Baptist Medical Center - Nassau · Fernandina Beach $7,090
Baptist Health Medical Center - Jacksonville · Jacksonville $7,150
Sarasota Memorial Hospital - Venice · North Venice $7,873
HCA Florida Lehigh Hospital · Lehigh Acres $10,638
HCA Florida Sarasota Doctors Hospital · Sarasota $10,638

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