CMS Price Transparency Data

Total knee replacement

Facility: St James Parish Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$3,697

about 0.3× the $13,117 Medicare rate · typically $1,475–$17,481

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,422

Well above the fair price

about $3,725 over the fair price · 0.6× Medicare

Medicare pays $13,117 Fair price $3,697 This hospital $7,422

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

One of the lower prices — 6 of 8 other LA hospitals charge more for the same procedure.

Cheapest $2,847 Priciest $11,695

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

A fair price for a Total knee replacement is about $3,697 (about 0.3× the $13,117 Medicare rate). St James Parish Hospital charges insurers about $7,422 — well above the fair price. Located in Lutcher, LA.

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 $3,697. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$9,038	69%
Blue Cross Blue Shieldmajor	$7,422 - $12,190	57%
Aetnamajor	$1,700 - $1,705	13%

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, 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 St James Parish Hospital 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 St James Parish Hospital

Compare: Total knee replacement at other LA hospitals

West Jefferson Medical Center · Marrero $2,847
Desoto Regional Health System · Mansfield $4,040
University Medical Center New Orleans · New Orleans $10,000
Park Place Surgical Hospital · Lafayette $11,401
Cypress Pointe Surgical Hospital · Hammond $11,491
Ochsner University Hospital and Clinics · Lafayette $11,695
Ochsner LSU Health Monroe · Monroe $11,695
Acadia General Hospital · Crowley $11,695

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