CMS Price Transparency Data

Total knee replacement

Facility: Northwest Health - Porter

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$14,526

about 1.1× the $13,117 Medicare rate · typically $6,741–$23,125

modeled estimate · not a bill or quote

What this hospital charges insurers

$24,450

Above the fair price

about $9,924 over the fair price · 1.9× Medicare

Medicare pays $13,117 Fair price $14,526 This hospital $24,450 Cash price $42,436 Hospital's list price $157,170

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $2,964 Priciest $24,450

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

A fair price for a Total knee replacement is about $14,526 (about 1.1× the $13,117 Medicare rate). Northwest Health - Porter charges insurers about $24,450, or about $42,436 in cash — above the fair price. Located in Valparaiso, 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 $14,526. 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.

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	$6,159 - $26,103	47%
Blue Cross Blue Shieldmajor	$13,346 - $55,360	102%
Aetnamajor	$1,358 - $75,913	10%
Cignamajor	$43,693	333%
Humanamajor	$13,346 - $26,103	102%
CareSource	$26,103	199%
Devoted Health	$13,613	104%
Health Net	$69,469 - $93,045	530%
MagnaCare	$34,596	264%
+ 18 smaller / regional plans	$13,346 - $125,736

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.

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 42,436), 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 Northwest Health - Porter 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 Northwest Health - Porter

Compare: Total knee replacement at other IN hospitals

Memorial Hospital and Health Care Center · Jasper $2,964
Greene County General Hospital · Linton $6,051
Pinnacle Hospital · Crown Point $7,516
Goshen Hospital · Goshen $12,409
Norton Scott Hospital · Scottsburg $13,253
Norton-King's Daughters' Health · Madison $13,479
Columbus Regional Hospital · Columbus $13,479
Marion General Hospital · Marion $13,528

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