CMS Price Transparency Data

Total knee replacement

Facility: Boston Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$15,208

about 1.2× the $13,117 Medicare rate · typically $6,530–$22,272

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,084

About the fair price

about $876 over the fair price · 1.2× Medicare

Medicare pays $13,117 Fair price $15,208 This hospital $16,084 Cash price $8,000 Hospital's list price $17,778

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 MA hospitals compared.

Cheapest $13,117 Priciest $18,280

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

A fair price for a Total knee replacement is about $15,208 (about 1.2× the $13,117 Medicare rate). Boston Medical Center charges insurers about $16,084, or about $8,000 in cash — about the fair price. Located in Boston, MA.

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	$695 - $36,641	5%
Blue Cross Blue Shieldmajor	$12,252 - $13,334	93%
Aetnamajor	$8,693	66%
Cignamajor	$15,111 - $16,084	115%
Tufts Health Plan	$431 - $21,189	3%
UniCare	$13,334	102%
WellCare	$15,511	118%
+ 17 smaller / regional plans	$513 - $36,641

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 8,000), 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 Boston 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 Boston 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
UMass Memorial Health - Harrington Hospital · Southbridge $16,356
Signature Healthcare Brockton Hospital · Brockton $17,114
Winchester Hospital · Winchester $18,280

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