CMS Price Transparency Data
Total knee replacement
Facility: Phelps Memorial Health Center
Billing Code: 27447 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,850
about 0.1× the $13,117 Medicare rate · typically $1,034–$4,432
modeled estimate · not a bill or quote
Medicare pays $13,117 Fair price $1,850 Cash price $5,161 Hospital's list price $5,734
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,046 - $11,468 | 8% |
| Blue Cross Blue Shieldmajor | $1,046 - $1,862 | 8% |
| Aetnamajor | $1,092 - $11,468 | 8% |
| Ambetter (Centene) | $2,013 | 15% |
| Medica | $1,046 - $1,883 | 8% |
| Molina | $1,092 - $11,468 | 8% |
| WellCare | $1,046 | 8% |
| + 6 smaller / regional plans | $1,046 - $1,988 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Phelps Memorial Health Center
Compare: Total knee replacement at other NE hospitals
- Cherry County Hospital · Valentine $2,393
- The Nebraska Medical Center · Omaha $2,459
- Regional West Medical Center · Scottsbluff $2,512
- 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
Insurance negotiated median for the same procedure, sorted lowest first.