CMS Price Transparency Data

Total knee replacement

Facility: Midwest Surgical Hospital LLC

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13,802
about 1.1× the $13,117 Medicare rate · typically $4,160–$16,827
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,532
About the fair price
about $270 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $13,802 This hospital $13,532 Cash price $31,272 Hospital's list price $41,696

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $2,393 Priciest $13,532

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 $13,802 (about 1.1× the $13,117 Medicare rate). Midwest Surgical Hospital LLC charges insurers about $13,532, or about $31,272 in cash — about the fair price. Located in Omaha, NE.

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✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $19,581 149%
Blue Cross Blue Shieldmajor $13,266 101%
Aetnamajor $9,696 74%
Humanamajor $13,266 101%
Medica $15,796 - $18,583 120%
Molina $13,532 103%
WellCare $13,266 101%
+ 1 smaller / regional plan $27,063
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 7915 Farnam Drive, Omaha, NE 68114
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals