CMS Price Transparency Data

Total knee replacement

Facility: Memorial Hospital and Health Care Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,953

about 0.3× the $13,117 Medicare rate · typically $2,071–$11,213

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,964

Below the fair price — a good deal

about $989 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $3,953 This hospital $2,964 Cash price $2,133 Hospital's list price $6,094

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $2,964 Priciest $13,583

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 $3,953 (about 0.3× the $13,117 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $2,964, or about $2,133 in cash — below the fair price — a good deal. Located in Jasper, IN.

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	$2,370 - $40,437	18%
Blue Cross Blue Shieldmajor	$975 - $13,479	7%
Aetnamajor	$1,153 - $13,479	9%
Cignamajor	$4,050	31%
Humanamajor	$1,153 - $13,479	9%
Ambetter (Centene)	$1,499 - $17,523	11%
CareSource	$1,153 - $16,849	9%
+ 11 smaller / regional plans	$1,157 - $32,350

Government programs also on file: Military & VA.

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 2,133), 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 Memorial Hospital and Health Care Center 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 Memorial Hospital and Health Care Center

Compare: Total knee replacement at other IN hospitals

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
Eskenazi Health · Indianapolis $13,583

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