CMS Price Transparency Data

Total knee replacement

Facility: Santa Rosa Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$16,062

about 1.2× the $13,117 Medicare rate · typically $7,944–$20,672

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,532

About the fair price

about $530 under the fair price · 1.2× Medicare

Medicare pays $13,117 Fair price $16,062 This hospital $15,532 Cash price $23,494 Hospital's list price $156,627

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 $15,532

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 $16,062 (about 1.2× the $13,117 Medicare rate). Santa Rosa Medical Center charges insurers about $15,532, or about $23,494 in cash — about the fair price. Located in Milton, FL.

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	$13,174 - $30,386	100%
Blue Cross Blue Shieldmajor	$13,174 - $26,302	100%
Aetnamajor	$13,174 - $87,868	100%
Cignamajor	$13,174 - $35,398	100%
Humanamajor	$6,137 - $13,174	47%
Ambetter (Centene)	$32,043	244%
Molina	$6,733	51%
Oscar Health	$40,411	308%
WellCare	$6,256 - $13,832	48%
+ 5 smaller / regional plans	$6,852 - $78,313

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (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 (about 23,494), 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 Santa Rosa 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 Santa Rosa Medical Center

Compare: Total knee replacement at other FL hospitals

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