CMS Price Transparency Data
Total knee replacement
Facility: Penobscot Valley Hospital
Billing Code: 27447 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$1,225
about 0.1× the $13,117 Medicare rate · typically $1,225–$2,687
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,225 Cash price $1,149 Hospital's list price $1,436
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $194 - $2,185 | 1% |
| Blue Cross Blue Shieldmajor | $200 - $1,696 | 2% |
| Aetnamajor | $198 - $4,462 | 2% |
| Cignamajor | $1,298 - $4,369 | 10% |
| Humanamajor | $194 - $1,227 | 1% |
| Harvard Pilgrim | $1,318 - $4,439 | 10% |
| WellCare | $171 - $1,067 | 1% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Penobscot Valley Hospital
Compare: Total knee replacement at other ME hospitals
- Mainehealth Franklin Hospital · Farmington $2,328
- Mainehealth Maine Medical Center · Portland $2,478
- Mainehealth Mid Coast Hospital · Brunswick $2,478
- Mainehealth Pen Bay Hospital · Rockport $2,478
- Redington Fairview General Hospital · Skowhegan $7,025
- Cary Medical Center · Caribou $12,695
- Northern Maine Medical Center · Fort Kent $13,596
Insurance negotiated median for the same procedure, sorted lowest first.