CMS Price Transparency Data

Total knee replacement

Facility: Northside Hospital Duluth

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,969
about 0.7× the $13,117 Medicare rate · typically $3,354–$11,282
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,365
About the fair price
about $396 over the fair price · 0.7× Medicare
Medicare pays $13,117 Fair price $8,969 This hospital $9,365

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $3,574 Priciest $9,365

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

A fair price for a Total knee replacement is about $8,969 (about 0.7× the $13,117 Medicare rate). Northside Hospital Duluth charges insurers about $9,365 — about the fair price. Located in Duluth, GA.

What each insurance company pays

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

6 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 $12,655 - $19,882 96%
Blue Cross Blue Shieldmajor $9,365 - $34,850 71%
Aetnamajor $9,008 - $30,000 69%
Cignamajor $7,594 - $11,990 58%
Humanamajor $12,781 - $13,161 97%
Kaiser Permanentemajor $2,232 - $13,034 17%
Ambetter (Centene) $6,316 - $10,726 48%
Amerigroup $6,316 - $8,978 48%
CareSource $6,505 - $18,600 50%
Clover Health $13,286 101%
Health Net $12,052 92%
Oscar Health $10,915 83%
WellCare $13,034 99%
+ 20 smaller / regional plans $2,186 - $50,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3620 Howell Ferry Road, Duluth, GA 30096
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals