CMS Price Transparency Data

Total knee replacement

Facility: St Lukes Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$10,795

about 0.8× the $13,117 Medicare rate · typically $3,637–$12,931

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,397

Below the fair price — a good deal

about $6,398 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $10,795 This hospital $4,397 Cash price $7,154 Hospital's list price $13,151

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 6 of 8 other MN hospitals charge more for the same procedure.

Cheapest $2,715 Priciest $12,139

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

A fair price for a Total knee replacement is about $10,795 (about 0.8× the $13,117 Medicare rate). St Lukes Hospital charges insurers about $4,397, or about $7,154 in cash — below the fair price — a good deal. Located in Duluth, MN.

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✓ Humana CignaKaiser 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	$254 - $1,537	2%
Blue Cross Blue Shieldmajor	$269 - $42,632	2%
Aetnamajor	$277 - $13,691	2%
Humanamajor	$332 - $13,957	3%
HealthPartners	$1,180 - $13,558	9%
Medica	$305 - $404	2%
Security Health Plan	$310 - $13,221	2%
UCare	$299	2%

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 7,154), 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 St Lukes Hospital 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 St Lukes Hospital

Compare: Total knee replacement at other MN hospitals

Glacial Ridge Hospital · Glenwood $2,715
Fairview Bethesda Hospital · Saint Paul $4,066
Fairview Northland Regional Hospital · Princeton $4,687
M Health Fairview Ridges Hospital · Burnsville $4,729
M Health Fairview St John's Hospital · Maplewood $4,729
Cuyuna Regional Medical Center · Crosby $4,839
Ortonville Area Health Services · Ortonville $4,926
Park Nicollet Methodist Hospital · Saint Louis Park $12,139

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