CMS Price Transparency Data

Total knee replacement

Facility: Regional West Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,297

about 0.3× the $13,117 Medicare rate · typically $2,068–$9,398

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,512

Below the fair price — a good deal

about $1,785 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $4,297 This hospital $2,512 Cash price $2,018 Hospital's list price $3,364

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 6 of 8 other NE hospitals charge more for the same procedure.

Cheapest $2,393 Priciest $12,539

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

A fair price for a Total knee replacement is about $4,297 (about 0.3× the $13,117 Medicare rate). Regional West Medical Center charges insurers about $2,512, or about $2,018 in cash — below the fair price — a good deal. Located in Scottsbluff, NE.

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	$2,558	20%
Blue Cross Blue Shieldmajor	$2,322	18%
Aetnamajor	$1,046 - $13,332	8%
Cignamajor	$2,994	23%
Humanamajor	$1,046 - $13,332	8%
Ambetter (Centene)	$2,466 - $19,997	19%
Medica	$1,046 - $13,998	8%
WellCare	$1,099 - $13,998	8%
+ 2 smaller / regional plans	$1,988 - $2,994

Excludes 1 rental-network / third-party entry (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 2,018), 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 Regional West 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 Regional West Medical Center

Compare: Total knee replacement at other NE hospitals

Cherry County Hospital · Valentine $2,393
The Nebraska Medical Center · Omaha $2,459
CHI Health Schuyler · Schuyler $3,348
CHI Health St. Marys · Nebraska City $3,348
CHI Health Plainview Hospital · Plainview $3,348
CHI Health St. Elizabeth · Lincoln $12,418
CHI Health Nebraska Heart · Lincoln $12,418
CHI Health Bergan Mercy · Omaha $12,539

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