CMS Price Transparency Data
Total knee replacement
Facility: St Claire Regional Medical Center
Billing Code: 27447 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$5,543
about 0.4× the $13,117 Medicare rate · typically $1,177–$17,259
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $5,543 Cash price $1,472 Hospital's list price $1,963
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,105 - $1,361 | 8% |
| Aetnamajor | $1,963 | 15% |
| Humanamajor | $1,105 - $1,381 | 8% |
| CareSource | $1,105 - $1,547 | 8% |
| HealthLink | $1,171 | 9% |
| WellCare | $1,381 - $2,002 | 11% |
| + 1 smaller / regional plan | $1,436 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
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Other Procedures at St Claire Regional Medical Center
Compare: Total knee replacement at other KY hospitals
- Jackson Purchase Medical Center · Mayfield $3,602
- Clark Regional Medical Center · Winchester $4,847
- Saint Joseph London · London $11,889
- Norton Hospitals, Inc · Louisville $12,062
- Saint Joseph Mount Sterling · Mount Sterling $12,340
- CHI Saint Joseph Flaget Memorial Hospital · Bardstown $12,567
- Uofl Health - Shelbyville Hospital · Shelbyville $12,665
- Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital · Louisville $12,665
Insurance negotiated median for the same procedure, sorted lowest first.