CMS Price Transparency Data

Total knee replacement

Facility: Southern Ocean Medical Center

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,559

about 1.2× the $13,117 Medicare rate · typically $11,055–$21,398

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,062

About the fair price

about $1,497 under the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $15,559 This hospital $14,062 Cash price $14,062 Hospital's list price $17,531

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

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 $15,559 (about 1.2× the $13,117 Medicare rate). Southern Ocean Medical Center charges insurers about $14,062, or about $14,062 in cash — about the fair price. Located in Manahawkin, 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	$2,379 - $27,214	18%
Blue Cross Blue Shieldmajor	$14,062	107%
Aetnamajor	$3,243 - $15,327	25%
Cignamajor	$14,025 - $18,427	107%
AmeriHealth	$13,972 - $15,795	107%
Clover Health	$3,156	24%
WellCare	$14,062	107%
+ 7 smaller / regional plans	$1,525 - $21,659

Government programs also on file: Military & VA.

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 14,062), 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 Southern Ocean 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 Southern Ocean Medical Center

Compare: Total knee replacement at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $2,674
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
Newton Medical Center · Newton $14,200

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