CMS Price Transparency Data

Total knee replacement

Facility: Northern Maine Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$3,334

about 0.3× the $13,117 Medicare rate · typically $1,437–$11,591

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,596

Well above the fair price

about $10,262 over the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $3,334 This hospital $13,596 Cash price $30 Hospital's list price $40,803

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Highest price of the 7 ME hospitals we have prices for — worth calling around.

Cheapest $2,328 Priciest $13,596

Black dot = this hospital, among the 7 ME hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $3,334 (about 0.3× the $13,117 Medicare rate). Northern Maine Medical Center charges insurers about $13,596, or about $30 in cash — well above the fair price. Located in Fort Kent, ME.

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 $3,334. 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.

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	$22,442 - $38,763	171%
Blue Cross Blue Shieldmajor	$22,890 - $36,764	175%
Aetnamajor	$22,442 - $37,947	171%
Cignamajor	$38,355 - $39,579	292%
Humanamajor	$22,442	171%
Harvard Pilgrim	$36,192	276%
WellCare	$22,442	171%
+ 6 smaller / regional plans	$13,596 - $38,763

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (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 30), 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 Northern Maine 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 Northern Maine Medical Center

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

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