CMS Price Transparency Data

Total knee replacement

Facility: Tri Valley Health System

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,776
about 0.1× the $13,117 Medicare rate · typically $1,043–$3,524
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,776 Cash price $2,954 Hospital's list price $3,282

How we calculate the fair BaseRate →

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 $453 - $3,151 3%
Blue Cross Blue Shieldmajor $329 - $3,118 3%
Aetnamajor $925 - $3,216 7%
Humanamajor $329 - $1,444 3%
Amerigroup $462 - $2,393 4%
Medica $329 - $2,954 3%
Molina $453 - $2,346 3%
WellCare $329 - $1,444 3%
+ 3 smaller / regional plans $345 - $2,370
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1305 West Highway 6/34, Cambridge, NE 69022
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals