CMS Price Transparency Data

Total knee replacement

Facility: Iu Health West Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$4,680
about 0.4× the $13,117 Medicare rate · typically $1,657–$28,982
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,398
Well above the fair price
about $18,718 over the fair price · 1.8× Medicare
Medicare pays $13,117 Fair price $4,680 This hospital $23,398

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 $23,398

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 $4,680 (about 0.4× the $13,117 Medicare rate). Iu Health West Hospital charges insurers about $23,398 — well above the fair price. Located in Avon, 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 $4,680. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,633 - $26,103 104%
Blue Cross Blue Shieldmajor $13,633 - $55,000 104%
Aetnamajor $13,633 104%
Humanamajor $13,633 - $13,906 104%
Ambetter (Centene) $22,495 171%
CareSource $20,450 - $26,103 156%
Health Net $25,710 - $34,083 196%
WellCare $13,906 106%
+ 5 smaller / regional plans $13,633 - $34,083

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: 1111 N Ronald Reagan Pkwy, Avon, IN 46123
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals