CMS Price Transparency Data

Total knee replacement

Facility: SSM Health Depaul Hospital St Louis

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,312

about 0.5× the $13,117 Medicare rate · typically $4,358–$10,481

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,368

Below the fair price — a good deal

about $1,944 under the fair price · 0.3× Medicare

Medicare pays $13,117 Fair price $6,312 This hospital $4,368

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

One of the lower prices — 4 of 8 other MO hospitals charge more for the same procedure.

Cheapest $2,533 Priciest $11,681

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 $6,312 (about 0.5× the $13,117 Medicare rate). SSM Health Depaul Hospital St Louis charges insurers about $4,368 — below the fair price — a good deal. Located in Bridgeton, MO.

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	$7,039 - $13,050	54%
Blue Cross Blue Shieldmajor	$1,449 - $13,052	11%
Aetnamajor	$3,112 - $13,309	24%
Cignamajor	$10,814	82%
Humanamajor	$13,078	100%
Ambetter (Centene)	$2,167	17%
HealthLink	$2,302 - $15,478	18%
Oscar Health	$15,431	118%

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 SSM Health Depaul Hospital St Louis 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 SSM Health Depaul Hospital St Louis

Compare: Total knee replacement at other MO hospitals

The Children's Mercy Hospital · Kansas City $2,533
SSM St Joseph Health Center · Saint Charles $4,368
SSM St Clare Health Center · Fenton $4,368
SSM St Joseph Hospital West · Lake Saint Louis $4,368
Lafayette Regional Health Center · Lexington $4,434
SSM Health Saint Louis University Hospital · Saint Louis $4,908
Phelps County Regional Medical Center · Rolla $7,195
Liberty Hospital · Liberty $11,681

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