CMS Price Transparency Data

Total knee replacement

Facility: The McDowell Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13,133
about 1.0× the $13,117 Medicare rate · typically $4,484–$14,444
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,400
About the fair price
about $1,267 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $13,133 This hospital $14,400

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $10,025 Priciest $14,400

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

A fair price for a Total knee replacement is about $13,133 (about 1.0× the $13,117 Medicare rate). The McDowell Hospital charges insurers about $14,400 — about the fair price. Located in Marion, NC.

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

✓ Cigna✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaKaiser 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
Cignamajor $15,339 117%
Humanamajor $14,000 107%
Ambetter (Centene) $40,332 307%
AmeriHealth $15,339 - $40,332 117%
Devoted Health $15,339 117%
WellCare $10,600 81%
+ 5 smaller / regional plans $2,550 - $15,953

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Facility Profile & Credentials

  • Address: 430 Rankin Drive P O Box 730, Marion, NC 28752
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals