CMS Price Transparency Data

Total knee replacement

Facility: Doctors Memorial Hospital Inc

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$3,765

about 0.3× the $13,117 Medicare rate · typically $1,516–$17,310

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,340

Below the fair price — a good deal

about $1,425 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $3,765 This hospital $2,340 Cash price $11,934 Hospital's list price $29,836

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Lowest price of the 9 FL hospitals we have prices for — a strong deal.

Cheapest $2,340 Priciest $10,638

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Total knee replacement is about $3,765 (about 0.3× the $13,117 Medicare rate). Doctors Memorial Hospital Inc charges insurers about $2,340, or about $11,934 in cash — below the fair price — a good deal. Located in Perry, 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	$20,885	159%
Blue Cross Blue Shieldmajor	$9,548	73%
Aetnamajor	$3,000 - $9,548	23%
Cignamajor	$17,902	136%
Humanamajor	$1,680 - $9,548	13%
+ 1 smaller / regional plan	$9,548

Government programs also on file: Medicare, 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 (about 11,934), 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 Doctors Memorial Hospital Inc 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 Doctors Memorial Hospital Inc

Compare: Total knee replacement at other FL hospitals

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