CMS Price Transparency Data

Total knee replacement

Facility: St Vincent Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$14,620
about 1.1× the $13,117 Medicare rate · typically $2,577–$16,826
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $14,620

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.

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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 $16,567 126%
Cignamajor $11,758 - $13,066 90%
Health Net $1,526 12%
+ 1 smaller / regional plan $1,526
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals