CMS Price Transparency Data

Total knee replacement

Facility: Goshen Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,080
about 0.3× the $13,117 Medicare rate · typically $3,972–$9,798
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,409
Well above the fair price
about $8,329 over the fair price · 0.9× Medicare
Medicare pays $13,117 Fair price $4,080 This hospital $12,409 Cash price $40,679 Hospital's list price $58,112

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $2,964 Priciest $13,583

Black dot = this hospital, among the 9 IN 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 $4,080 (about 0.3× the $13,117 Medicare rate). Goshen Hospital charges insurers about $12,409, or about $40,679 in cash — well above the fair price. Located in Goshen, IN.

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 $4,080. 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.

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 $12,409 95%
Blue Cross Blue Shieldmajor $12,409 95%
Aetnamajor $12,409 95%
Cignamajor $12,409 95%
Humanamajor $12,409 95%
Kaiser Permanentemajor $12,409 95%
Ambetter (Centene) $17,878 136%
Banner Health $12,409 95%
CareSource $17,878 136%
Cigna HealthSpring $12,409 95%
Devoted Health $13,153 100%
Geisinger $12,409 95%
HealthPartners $12,409 95%
Medical Mutual $12,409 95%
Meridian $12,409 95%
Paramount $12,409 95%
UCare $12,409 95%
UPMC Health Plan $12,409 95%
WellCare $12,409 95%
WellMed $12,409 95%
+ 22 smaller / regional plans $12,409 - $14,047
Government programs also on file: Medicare, 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

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: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals