CMS Price Transparency Data

Total knee replacement

Facility: Holyoke Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$14,502

about 1.1× the $13,117 Medicare rate · typically $5,893–$17,711

modeled estimate · not a bill or quote

Medicare pays $13,117 Fair price $14,502 Cash price $11,142 Hospital's list price $13,928

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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	$14,110 - $16,071	108%
Blue Cross Blue Shieldmajor	$14,110 - $17,275	108%
Aetnamajor	$14,110	108%
Cignamajor	$17,609	134%
Harvard Pilgrim	$16,071	123%
Tufts Health Plan	$5,496 - $16,932	42%
WellCare	$15,095	115%
WellSense	$8,079 - $14,956	62%
+ 4 smaller / regional plans	$6,463 - $16,226

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 11,142), 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 Holyoke Medical 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 Holyoke Medical Center

Compare: Total knee replacement at other MA hospitals

Emerson Hospital - · W Concord $13,117
Milford Regional Medical Center · Milford $13,758
Heywood Hospital - · Gardner $15,240
UMass Memorial Healthalliance Hospitals · Leominster $15,577
Beth Israel Deaconess Hospital - Milton · Milton $15,964
Boston Medical Center · Boston $16,084
UMass Memorial Health - Harrington Hospital · Southbridge $16,356
Signature Healthcare Brockton Hospital · Brockton $17,114

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