CMS Price Transparency Data

Total knee replacement

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$12,762

about 1.0× the $13,117 Medicare rate · typically $9,313–$15,275

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,524

About the fair price

about $762 over the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $12,762 This hospital $13,524

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $2,715 Priciest $13,524

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 $12,762 (about 1.0× the $13,117 Medicare rate). Essentia Health St Marys - Detroit Lakes charges insurers about $13,524 — about the fair price. Located in Detroit Lakes, MN.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$13,524	103%
Blue Cross Blue Shieldmajor	$8,806 - $57,938	67%
HealthPartners	$13,524	103%
Medica	$13,524	103%
Sanford Health Plan	$22,784	174%
Security Health Plan	$13,524	103%
UCare	$13,524	103%
+ 10 smaller / regional plans	$12,689 - $13,524

Government programs also on file: Medicare.

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, 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 Essentia Health St Marys - Detroit Lakes 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 Essentia Health St Marys - Detroit Lakes

Compare: Total knee replacement at other MN hospitals

Glacial Ridge Hospital · Glenwood $2,715
Fairview Bethesda Hospital · Saint Paul $4,066
St Lukes Hospital · Duluth $4,397
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

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