CMS Price Transparency Data

Total knee replacement

Facility: Pikeville Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,702
about 0.2× the $13,117 Medicare rate · typically $1,567–$15,934
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,467
Well above the fair price
about $14,765 over the fair price · 1.3× Medicare
Medicare pays $13,117 Fair price $2,702 This hospital $17,467

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $3,602 Priciest $17,467

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

A fair price for a Total knee replacement is about $2,702 (about 0.2× the $13,117 Medicare rate). Pikeville Medical Center charges insurers about $17,467 — well above the fair price. Located in Pikeville, KY.

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 $2,702. 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.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $12,046 92%
CareSource $17,467 133%
WellCare $16,865 129%
+ 2 smaller / regional plans $19,274 - $30,116

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: 911 Bypass Road, Pikeville, KY 41501
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals