CMS Price Transparency Data
Total knee replacement
Facility: Cape Fear Valley Hoke Hospital
Billing Code: 27447 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$10,680
about 0.8× the $13,117 Medicare rate · typically $6,382–$12,662
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $10,680 Cash price $6,599 Hospital's list price $10,998
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $12,720 - $12,974 | 97% |
| Aetnamajor | $12,974 - $31,799 | 99% |
| Cignamajor | $12,974 | 99% |
| Humanamajor | $12,720 - $13,992 | 97% |
| Ambetter (Centene) | $19,079 - $25,439 | 145% |
| WellCare | $12,720 | 97% |
| + 5 smaller / regional plans | $12,720 - $13,356 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cape Fear Valley Hoke Hospital
Compare: Total knee replacement at other NC hospitals
- Frye Regional Medical Center · Hickory $10,025
- Columbus Regional Healthcare System · Whiteville $12,131
- Sentara Albemarle Medical Center · Elizabeth City $12,394
- Wakemed, Raleigh Campus · Raleigh $12,438
- North Carolina Baptist Hospital · Winston-Salem $12,455
- Person Memorial Hospital · Roxboro $12,531
- Novant Health Forsyth Medical Center · Winston-Salem $12,607
- Novant Health Thomasville Medical Center · Thomasville $12,607
Insurance negotiated median for the same procedure, sorted lowest first.