CMS Price Transparency Data

Total knee replacement

Facility: Moberly Regional Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$10,717

about 0.8× the $13,117 Medicare rate · typically $7,865–$17,273

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,216

Above the fair price

about $6,499 over the fair price · 1.3× Medicare

Medicare pays $13,117 Fair price $10,717 This hospital $17,216 Cash price $47,123 Hospital's list price $174,529

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $2,533 Priciest $17,216

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

A fair price for a Total knee replacement is about $10,717 (about 0.8× the $13,117 Medicare rate). Moberly Regional Medical Center charges insurers about $17,216, or about $47,123 in cash — above the fair price. Located in Moberly, MO.

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 $10,717. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$13,772 - $133,515	105%
Blue Cross Blue Shieldmajor	$13,802 - $62,132	105%
Aetnamajor	$114,840 - $139,623	876%
Cignamajor	$54,453	415%
Devoted Health	$14,208	108%
HealthLink	$3,060 - $3,400	23%
+ 10 smaller / regional plans	$17,216 - $124,771

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

Excludes 3 rental-network / third-party entries (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 47,123), 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 Moberly Regional 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 Moberly Regional Medical Center

Compare: Total knee replacement at other MO hospitals

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