CMS Price Transparency Data

Total knee replacement

Facility: St Joseph's University Medical Center Inc

Billing Code: 27447 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$14,528

about 1.1× the $13,117 Medicare rate · typically $3,337–$19,906

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,674

Below the fair price — a good deal

about $11,854 under the fair price · 0.2× Medicare

Medicare pays $13,117 Fair price $14,528 This hospital $2,674 Cash price $4,570 Hospital's list price $4,570

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $2,674 Priciest $14,200

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

A fair price for a Total knee replacement is about $14,528 (about 1.1× the $13,117 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $2,674, or about $4,570 in cash — below the fair price — a good deal. Located in Paterson, NJ.

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✓ Cigna HumanaKaiser 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	$953 - $15,253	7%
Blue Cross Blue Shieldmajor	$1,271 - $43,431	10%
Aetnamajor	$1,271 - $31,115	10%
Cignamajor	$4,570	35%
Ambetter (Centene)	$1,271 - $22,879	10%
AmeriHealth	$1,271 - $15,253	10%
Clover Health	$1,271 - $15,253	10%
Fidelis Care	$953 - $16,015	7%
Health Net	$3,766	29%
+ 4 smaller / regional plans	$1,271 - $17,541

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

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 4,570), 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 St Joseph's University Medical Center Inc 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 St Joseph's University Medical Center Inc

Compare: Total knee replacement at other NJ hospitals

Raritan Bay Medical Center · Perth Amboy $9,176
Jefferson Stratford Hospital · Stratford $10,746
Ocean Medical Center · Brick $12,867
Jfk University Medical Center · Edison $12,867
Cape Regional Medical Center Inc · Cape May Court House $14,002
Capital Health Regional Medical Center · Trenton $14,062
Southern Ocean Medical Center · Manahawkin $14,062
Newton Medical Center · Newton $14,200

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