CMS Price Transparency Data

Total knee replacement

Facility: Orange City Area Health System

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,130
about 0.2× the $13,117 Medicare rate · typically $1,393–$4,679
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,550
Above the fair price
about $420 over the fair price · 0.2× Medicare
Medicare pays $13,117 Fair price $2,130 This hospital $2,550 Cash price $2,971 Hospital's list price $3,714

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $2,402 Priciest $2,935

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

A fair price for a Total knee replacement is about $2,130 (about 0.2× the $13,117 Medicare rate). Orange City Area Health System charges insurers about $2,550, or about $2,971 in cash — above the fair price. Located in Orange City, IA.

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 $2,130. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,353 18%
Blue Cross Blue Shieldmajor $2,443 19%
HealthPartners $2,609 - $2,870 20%
Sanford Health Plan $2,491 19%
+ 1 smaller / regional plan $2,175
Excludes 2 rental-network / third-party entries (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: 1000 Lincoln Circle Se, Orange City, IA 51041
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals