CMS Price Transparency Data

Total knee replacement

Facility: Transylvania Regional Hospital, Inc

Billing Code: 27447 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$5,412
about 0.4× the $13,117 Medicare rate · typically $1,372–$14,000
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,000
Well above the fair price
about $8,588 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $5,412 This hospital $14,000

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 $14,000

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 $5,412 (about 0.4× the $13,117 Medicare rate). Transylvania Regional Hospital, Inc charges insurers about $14,000 — well above the fair price. Located in Brevard, NC.

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 $5,412. 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.

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 $16,396 125%
Humanamajor $14,000 107%
AmeriHealth $16,396 125%
Devoted Health $16,396 125%
WellCare $10,600 81%
+ 5 smaller / regional plans $2,550 - $17,052

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 90 Hospital Drive Po Box 1116, Brevard, NC 28712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals